FORM 1023-EZ for MISSOURI MINES MUSEUM SOCIETY

Field Data
EIN 43-1409398
Case Number EO-2017142-000614
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSOURI MINES MUSEUM SOCIETY
Organization’s Mailing Address PO BOX 492
City PARK HILLS
State MO
ZIP 63601-0492
Accounting period End 12
Primary contact name ART HEBRANK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUTH MOSIER
DIRECTOR, PRESIDENT
611 EAST STREET
LEADWOOD MO 63653

Officer/Director/Trustee Two

BILL CRITES
DIRECTOR
411 EDWARD STREET
FARMINGTON MO 63640

Officer/Director/Trustee Three

ANN HAMPTON
DIRECTOR
15088 PROVINCE ROAD
IRONDALE MO 63649

Officer/Director/Trustee Four

DENZEL JENNINGS
DIRECTOR
5386 SHADOW WOOD LANE
FARMINGTON MO 63640

Officer/Director/Trustee Five

ARTHUR HEBRANK
DIRECTOR
PO BOX 592
PARK HILLS MO 63601-0592

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/1985
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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