FORM 1023-EZ for BLEECKER HISTORICAL SOCIETY

Field Data
EIN 14-1818523
Case Number EO-2015236-000063
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLEECKER HISTORICAL SOCIETY
Organization’s Mailing Address 575 COUNTY HIGHWAY 112
City GLOVERSV ILLE
State NY
ZIP 12078
Accounting period End 12
Primary contact name DIANE PERRELLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELEANOR BROOKS
PRESIDENT
184 COUNTY HIGHWAY 125
GLOVERSVILLE NY 12078

Officer/Director/Trustee Two

ALICE LOUX
VICE-PRESIDENT
1009 COUNTY HIGHWAY 112
GLOVERSVILLE NY 12078

Officer/Director/Trustee Three

KATHRYN EVANS
SECRETARY
613 COUNTY HIGHWAY 125
GLOVERSVILLE NY 12078

Officer/Director/Trustee Four

DIANE PERRELLA
TRESURER
PO BOX 268
GLOVERSVILLE NY 12078

Officer/Director/Trustee Five

CARLENE LANKTON
TRUSTEE
144 PINNACLE ROAD
GLOVERSVILLE NY 12078

Organization’s website WWW.BLEECKERHISTORICALSOCIETY.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/1993
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: 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 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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