FORM 1023-EZ for MOBILE MUSEUM OF VINTAGE TECHNOLOGY
| Field | Data |
|---|---|
| EIN | 83-0876215 |
| Case Number | EO-2018169-000503 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MOBILE MUSEUM OF VINTAGE TECHNOLOGY |
| Organization’s Mailing Address | 4105 ALPINE CLOVER DRIVE |
| City | WAKE FOREST |
| State | NC |
| ZIP | 27587 |
| Accounting period End | 12 |
| Primary contact name | THOMAS HYSLIP |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
THOMAS HYSLIP
PRESIDENT
4105 ALPINE CLOVER DRIVE
WAKE FOREST NC 27587
Officer/Director/Trustee Two
GARY RUDD
CHAIRPERSON
6759 KALEB WAY
LAKE WORTH FL 33467
Officer/Director/Trustee Three
DOUGLAS GELLER
SECRETARY
2924 DAVIE ROAD SUITE 102
DAVIE FL 33314
| Organization’s website | VINTAGETECHMUSEUM.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/13/18 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A57 - Science and Technology Museums |
| Organization’s purpose | Charitable: No 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 | 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 | THOMAS HYSLIP |
| Signature Title | PRESIDENT |
| Signature Date | 6/13/18 |
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