FORM 1023-EZ for POLK COUNTY GENEALOGICAL SOCIETY

Field Data
EIN 10-0596732
Case Number EO-2015279-000094
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POLK COUNTY GENEALOGICAL SOCIETY
Organization’s Mailing Address PO BOX 1525
City MENA
State AR
ZIP 71953
Accounting period End 12
Primary contact name MARGARETT KIMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARGARETT KIMP
PRESIDENT
112 POLK ROAD 108
MENA AR 71953

Officer/Director/Trustee Two

DAVID FRACHISEUR
VICE PRESIDENT
157 HERRING DR
GRANNIS AR 71944

Officer/Director/Trustee Three

FRIEDA ROMINE
TREASURER
429 POLK 35
HATFIELD AR 71945

Officer/Director/Trustee Four

WANDA TILLEY
SECRETARY
PO BOX 12
HATFIELD AR 71945

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/1986
Organization Incorporation State AR
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: 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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