FORM 1023-EZ for FAIRFAX DEPOT HISTORICAL PRESERVATION ASSOCIATION
| Field | Data |
|---|---|
| EIN | 93-1165430 |
| Case Number | EO-2017321-000397 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | FAIRFAX DEPOT HISTORICAL PRESERVATION ASSOCIATION |
| Organization’s Mailing Address | BOX 434 |
| City | FAIRFAX |
| State | MN |
| ZIP | 55332-0434 |
| Accounting period End | 12 |
| Primary contact name | JEFF HAALA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BERNICE LYGHOLM
PRESIDENT
204 NORTH WEST 2ND STREET
FAIRFAX MN 55332-0294
Officer/Director/Trustee Two
CAROLYN BORTH
VICE PRESIDENT
46127 660 AVENUE
FAIRFAX MN 55332-3011
Officer/Director/Trustee Three
DOROTHY BUSCH
SECRETARY
11 NORTH PARK STREET
FAIRFAX MN 55332-3136
Officer/Director/Trustee Four
KERRY HAALA
TREASURER
308 SOUTH EAST 2ND STREET
FAIRFAX MN 55332-0341
Officer/Director/Trustee Five
JEFF HAALA
BOARD MEMBER
308 SOUTH EAST 2ND STREET
FAIRFAX MN 55332-0341
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/7/1988 |
| Organization Incorporation State | MN |
| 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: Yes 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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