FORM 1023-EZ for PLEASANT HILL HISTORIC DISTRICT

Field Data
EIN 84-2505629
Case Number EO-2019294-000390
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLEASANT HILL HISTORIC DISTRICT
Organization’s Mailing Address 1010 INDUSTRIAL DRIVE
City PLEASANT HILL
State MO
ZIP 64080
Accounting period End 12
Primary contact name KATHRYN GRIFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAT CLIFFORD
PRESIDENT
100 WYOMING STREET
PLEASANT HILL MO 64080

Officer/Director/Trustee Two

REBECCA KOHLER
VICE PRESIDENT
19415 S 7 HIGHWAY
PLEASANT HILL MO 64080

Officer/Director/Trustee Three

LISA NICHELSON
TREASURER
2401 N 7 HIGHWAY
PLEASANT HILL MO 64080

Officer/Director/Trustee Four

SARAH TANGBLADE
SECRETARY
121 S 1ST STREET
PLEASANT HILL MO 64080

Organization’s website WWW.HISTORICPLEASANTHILL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LISA NICHELSON
Signature Title TREASURER
Signature Date 10/17/19

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