FORM 1023-EZ for ROCKFORD HISTORICAL SOCIETY

Field Data
EIN 42-1279422
Case Number EO-2018212-000169
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCKFORD HISTORICAL SOCIETY
Organization’s Mailing Address 106 EAST MAIN AVENUE
City ROCKFORD
State IA
ZIP 50468
Accounting period End 5
Primary contact name BARBARA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA BROWN
TREASURER
1971 BOURN AVE
ROCKFORD IA 50468

Officer/Director/Trustee Two

DALE STERN
SECRETARY
510 2ND AVENUE NW
ROCKFORD IA 50468

Officer/Director/Trustee Three

HARRY WHITE
VICE PRESIDENT
111 6TH STREET NE
ROCKFORD IA 50468

Officer/Director/Trustee Four

PAT SINNING
PRESIDENT
401 1ST AVENUE NE
ROCKFORD IA 50468

Officer/Director/Trustee Five

DON NELSON
DIRECTOR
1380 190TH STREET
ROCKFORD IA 50468

Organization’s website
Organization’s email BROWNB@MYOMNITEL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/84
Organization Incorporation State IA
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BARBARA BROWN
Signature Title TREASURER
Signature Date 7/29/18

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