FORM 1023-EZ for THE EMERYVILLE HISTORICAL SOCIETY

Field Data
EIN 30-1117570
Case Number EO-2018247-000520
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE EMERYVILLE HISTORICAL SOCIETY
Organization’s Mailing Address 1500 PARK AVENUE 322
City EMERYVILLE
State CA
ZIP 94608
Accounting period End 12
Primary contact name ROBERT ARIAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT ARIAS
SECRETARY
1500 PARK AVENUE 322
EMERYVILLE CA 94608-3518

Officer/Director/Trustee Two

DONALD HAUSLER
PRESIDENT
687 VERNON STREET
OAKLAND CA 94610-1419

Officer/Director/Trustee Three

NANCY SMITH
TREASURER
6389 RACINE STREET
OAKLAND CA 94609-1232

Organization’s website HTTPS://EMERYVILLEHISTORICAL.ORG/
Organization’s email EMERYVILLEHISTORICAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/18
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 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 ROBERT ARIAS
Signature Title SECRETARY
Signature Date 8/30/18

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