FORM 1023-EZ for GREENBURGH AFRICAN AMERICAN HISTORICAL SOCIETY

Field Data
EIN 81-4539863
Case Number EO-2017219-000330
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREENBURGH AFRICAN AMERICAN HISTORICAL SOCIETY
Organization’s Mailing Address 155 AUGUSTINE ROAD
City WHITE PLAINS
State NY
ZIP 10603
Accounting period End 12
Primary contact name TIMOTHY LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDITH BEVILLE
PRESIDENT
405 TARRYTOWN RD PMB 1102
WHITE PLAINS NY 10607

Officer/Director/Trustee Two

SANDRA SINGH
VICE PRESIDENT
405 TARRYTOWN RD PMB 1102
WHITE PLAINS NY 10607

Officer/Director/Trustee Three

ANGELA FIELDS
TREASURER
405 TARRYTOWN RD PMB 1102
WHITE PLAINS NY 10607

Officer/Director/Trustee Four

SHELLY STROUD
SECRETARY
405 TARRYTOWN RD PMB 1102
WHITE PLAINS NY 10607

Organization’s website
Organization’s email TLEWIS2731@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: Yes
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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