FORM 1023-EZ for HOLT COUNTY MUSEUM AND RESEARCH CENTER

Field Data
EIN 47-1222073
Case Number EO-2014248-000491
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLT COUNTY MUSEUM AND RESEARCH CENTER
Organization’s Mailing Address PO BOX 44
City OREGON
State MO
ZIP 64473-0044
Accounting period End 12
Primary contact name MICHAEL FREEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL FREEMAN
PRESIDENT
24161 SQUIRREL RD
OREGON MO 64473-8228

Officer/Director/Trustee Two

WILLIAM MCGUIRE
VICE-PRESIDENT
34114 HOLT 250
OREGON MO 64473-8011

Officer/Director/Trustee Three

JAMES PIERSON
SECRETARY
207 N MONROE
OREGON MO 64473-9611

Officer/Director/Trustee Four

JANICE RADLEY
TREASURE
31247 HOLT 285
OREGON MO 64473-8201

Officer/Director/Trustee Five

ED WOOLSEY
BOARD MEMBER
28581 HWY 111
FOREST CITY MO 64451-9108

Organization’s website
Organization’s email HCMUSEUM@OFMLIVE.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2014
Organization Incorporation State MO
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: No
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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