FORM 1023-EZ for BLUE HILL GREEN SPACE CHARITABLE TRUST

Field Data
EIN 86-6660182
Case Number EO-2021102-000880
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE HILL GREEN SPACE CHARITABLE TRUST
Organization’s Mailing Address 25 LAUGHLIN MILL ROAD
City NEWVILLE
State PA
ZIP 17241-1113
Accounting period End 12
Primary contact name ERICA MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT MILLER
TRUSTEE
25 LAUGHLIN MILL RD
NEWVILLE PA 17241-1113

Officer/Director/Trustee Two

ERICA MILLER
TRUSTEE
25 LAUGHLIN MILL RD
NEWVILLE PA 17241-1113

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2021
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERICA MILLER
Signature Title TRUSTEE
Signature Date 4/5/2021

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