FORM 1023-EZ for HISTORIC HEATHSVILLE INC

Field Data
EIN 82-0757222
Case Number EO-2017072-000416
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HISTORIC HEATHSVILLE INC
Organization’s Mailing Address PO BOX 1801
City KILMARNOCK
State VA
ZIP 22482
Accounting period End 12
Primary contact name WALTER LESLIE KILDUFF JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THERESA LAMBERT
PRESIDENT/SECRETARY
228 GREENWAY PLACE
HEATHSVILLE VA 22473

Officer/Director/Trustee Two

JAMES RUSSELL
TREASURER
7232 NORTHUMBERLAND HIGHWAY
HEATHSVILLE VA 22473

Officer/Director/Trustee Three

WALTER LESLIE KILDUFF
DIRECTOR
PO BOX 7518
KILMARNOCK VA 22482

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2016
Organization Incorporation State VA
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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