FORM 1023-EZ for MATHEWS COUNTY HISTORICAL SOCIETY

Field Data
EIN 23-7060636
Case Number EO-2016246-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MATHEWS COUNTY HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 855
City MATHEWS
State VA
ZIP 23109-0855
Accounting period End 12
Primary contact name LOUIS E SERIO JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUG WILTON
PRESIDENT
PO BOX 66
HALLIEFORD VA 23068

Officer/Director/Trustee Two

FORREST MORGAN
VICE PRESIDENT
1135 CHAPEL NECK RD
NORTH VA 23128

Officer/Director/Trustee Three

DEE BANE
SECRETARY
53 FLEETWOOD CIRCLE
MOON VA 23119

Officer/Director/Trustee Four

VICKI CARTER
TREASURER
PO BOX 1317
MATHEWS VA 23109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/1991
Organization Incorporation State VA
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: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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