FORM 1023-EZ for HAYTI HISTORICAL SOCIETY

Field Data
EIN 84-2318729
Case Number EO-2019191-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAYTI HISTORICAL SOCIETY
Organization’s Mailing Address 833 LAFAYETTE ST
City COATESVILLE
State PA
ZIP 19320
Accounting period End 12
Primary contact name GERALD DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD DAVIS
CHAIRPERSON
833 LAFAYETTE ST
COATESVILLE PA 19320

Officer/Director/Trustee Two

TINA MORTON
CO-CHAIRPERSON
924 W LINCOLN HWY
COATESVILLE PA 19320

Officer/Director/Trustee Three

TONI BARBER
SECRETARY
1010 FRONT ST
COATESVILLE PA 19320

Officer/Director/Trustee Four

TONI MORTON
SARGENT OF ARMS
924 W LINCOLN HWY
COATESVILLE PA 19320

Officer/Director/Trustee Five

KAREN DAVIS
TREASURER
833 LAFAYETTE ST
COATESVILLE PA 19320

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GERALD DAVIS
Signature Title CHAIRPERSON
Signature Date 7/8/19

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