FORM 1023-EZ for KLIPSCH HERITAGE MUSEUM ASSOCIATIONINC

Field Data
EIN 81-3115229
Case Number EO-2016235-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KLIPSCH HERITAGE MUSEUM ASSOCIATIONINC
Organization’s Mailing Address PO BOX 280
City HOPE
State AR
ZIP 71802
Accounting period End 6
Primary contact name E KEVIN HARMON DDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES HUNTER
TRUSTEE/PRESIDENT
189 HEMPSTEAD 1060
HOPE AR 71801

Officer/Director/Trustee Two

E KEVIN HARMON DDS
TRUSTEE/VP/TREASURER
156 W EDITH RD
LAFAYETTE LA 70508

Officer/Director/Trustee Three

CHRISTY LUQUET
TRUSTEE/SECRETARY
1 BOBTAIL TRAIL
PICAYUNE MS 39466

Officer/Director/Trustee Four

ROGELIO DELGADO
TRUSTEE
281 NEVADA 120
ROSSTON AR 71858

Officer/Director/Trustee Five

IAN MOORE
TRUSTEE
1311 LOUISIANA ST
LITTLE ROCK AR 72202

Organization’s website WWW.KLIPSCHMUSEUM.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2016
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
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
Signature Title
Signature Date

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