FORM 1023-EZ for PAULDING COUNTY HISTORICAL SOCIETY

Field Data
EIN 58-1582552
Case Number EO-2015229-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAULDING COUNTY HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 333
City DALLAS
State GA
ZIP 30132
Accounting period End 12
Primary contact name DANA STRACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANA STRACK
DIRECTOR
907 CARTERSVILLE HWY
DALLAS GA 30132

Officer/Director/Trustee Two

HUGH WALTERS
DIRECTOR
568 CEDARSTONE PATH
DALLAS GA 30157

Officer/Director/Trustee Three

KEN STRACK
DIRECTOR
907 CARTERSVILLE HWY
DALLAS GA 30132

Officer/Director/Trustee Four

ART GRAVES
DIRECTOR
165 WESTBROOK RD
ACWORTH GA 30101

Officer/Director/Trustee Five

WAYNE WILLINGHAM
DIRECTOR
7744 DALLAS ACWORTH HWY
DALLAS GA 30132

Organization’s website PCHSM.ORG
Organization’s email PCHSMINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/1979
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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