FORM 1023-EZ for THE SAFETY AND HEALTH HISTORICAL SOCIETY

Field Data
EIN 47-5166110
Case Number EO-2015273-000322
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SAFETY AND HEALTH HISTORICAL SOCIETY
Organization’s Mailing Address 602 W AUSTIN ST
City TOLONO
State IL
ZIP 61880-9618
Accounting period End 12
Primary contact name ROGER L BRAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROGER L BRAUER
DIRECTOR
602 W AUSTIN ST
TOLONO IL 61880

Officer/Director/Trustee Two

JOEL HAIGHT
DIRECTOR
1043 BENEHAM HALL 3700 OHARA ST
PITTSBURGH PA 15261-0001

Officer/Director/Trustee Three

JOSEPH TOWNSEND
DIRECTOR
17115 NE 86 COURT
REDMOND WA 98052-3232

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2015
Organization Incorporation State IL
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: 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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