FORM 1023-EZ for ROBERT THOMAS LIVERMORE MUSEUM ANDHISTORIC FARM

Field Data
EIN 47-5310012
Case Number EO-2016028-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROBERT THOMAS LIVERMORE MUSEUM ANDHISTORIC FARM
Organization’s Mailing Address 3656 LOS COLINAS ROAD
City LIVERMORE
State CA
ZIP 94551
Accounting period End 12
Primary contact name ROBERT STRAWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY STARKWEATHER
PRESIDENT CHAIRMAN
189 CONTRACTORS ST
LIVERMORE CA 94551

Officer/Director/Trustee Two

ROBERT VIDALIN
BOARD MEMBER
3656 LOS COLINAS ROAD
LIVERMORE CA 94551

Officer/Director/Trustee Three

ROBERT STRAWN
CFO
5000 PLEASANTON AVE SUITE 105
PLEASANTON CA 94566

Officer/Director/Trustee Four

JEAN PORLIER
BOARD MEMBER SECRETARY
3656 LOS COLINAS ROAD
LIVERMORE CA 94551

Officer/Director/Trustee Five

JOAN BOBLITT
BOARD MEMBER TREASURER
3656 LOS COLINAS ROAD
LIVERMORE CA 94551

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A54 - History 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 Yes
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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