FORM 1023-EZ for BEACON BACKERS INC

Field Data
EIN 81-2096757
Case Number EO-2016102-000291
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEACON BACKERS INC
Organization’s Mailing Address C/O 140 WEST LIBERTY STREET
City WOOSTER
State OH
ZIP 44691-4802
Accounting period End 3
Primary contact name JEFFREY D MUSSELMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DENNIS TROYER
DIRECTOR/CHAIRMAN
6389 ZUERCHER ROAD
APPLE CREEK OH 44606-9723

Officer/Director/Trustee Two

JOHN HENRY MILLER
DIRECTOR/VICE CHAIRMAN
4043 SOUTH KOHLER ROAD
APPLE CREEK OH 44606-9719

Officer/Director/Trustee Three

STEVE SWARTZENTRUBER
DIRECTOR/SECRETARY
7110 MASSILLON ROAD
NAVARRE OH 44662-9316

Officer/Director/Trustee Four

MARK HOCHSTETLER
DIRECTOR/TREASURER
14100 WESTERN ROAD
APPLE CREEK OH 44606-9395

Officer/Director/Trustee Five

ROY SCHLABACH
DIRECTOR/COORDINATOR
9393 SOUTH APPLE CREEK ROAD
FREDERICKSBURG OH 44627-9713

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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