FORM 1023-EZ for HISTORY REVEALED INC

Field Data
EIN 81-3846503
Case Number EO-2016348-000329
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HISTORY REVEALED INC
Organization’s Mailing Address 7226 WICKFORD DR
City ALEXANDRIA
State VA
ZIP 22315
Accounting period End 12
Primary contact name MOLLY H KERR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOLLY H KERR
PRESIDENT, SECRETARY
7226 WICKFORD DR
ALEXANDRIA VA 22315

Officer/Director/Trustee Two

MADELEINE R MCCOY
TREASURER
1915 JEFFERSON DAVIS HWY
ALEXANDRIA VA 22301

Officer/Director/Trustee Three

ESTHER C WHITE
VICE PRESIDENT
603 JOHNSTON PLACE
ALEXANDRIA VA 22301

Organization’s website
Organization’s email MOLLY@HISTORYREVEALED.CO
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A05 - Research Institutes and/or Public Policy Analysis
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
Signature Title
Signature Date

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