FORM 1023-EZ for THE TOWN OF SHANDAKEN HISTORICAL MUSEUM

Field Data
EIN 83-2629393
Case Number EO-2018333-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE TOWN OF SHANDAKEN HISTORICAL MUSEUM
Organization’s Mailing Address 26 ACADEMY STREET
City PINE HILL
State NY
ZIP 12465
Accounting period End 12
Primary contact name WILLIAM ANDREWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN MYERS
MUSEUM DIRECTOR
14 LAKE STREET
PINE HILL NY 12465

Officer/Director/Trustee Two

MARY LOU STAPLETON
CHAIRWOMAN
823 RT 28 PO BOX 85
BIG INDIAN NY 12410

Officer/Director/Trustee Three

RICHARD BENNETT
VICE CHAIRMAN
915 OLIVEREA RD
BIG INDIAN NY 12410

Officer/Director/Trustee Four

DORIS NIEVES
SECRETARY
16 MT PLEASANT ROAD
MT TREMPER NY 12480

Officer/Director/Trustee Five

WILLIAM ANDREWS
TRUSTEE
33 RUSTIC ROAD
BIG INDIAN NY 12410

Organization’s website SHANDAKEN.US/MUSEUM
Organization’s email SHANDAKENMUSEUM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
Organization’s purpose Charitable: Yes
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 Yes
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 WILLIAM ANDREWS
Signature Title TRUSTEE
Signature Date 11/27/18

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