FORM 1023-EZ for GRAFTON HISTORICAL SOCIETY

Field Data
EIN 81-2659099
Case Number EO-2016141-000353
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRAFTON HISTORICAL SOCIETY
Organization’s Mailing Address 860 BADGER CIRCLE
City GRAFTON
State WI
ZIP 53024
Accounting period End 12
Primary contact name JESSICA WOLFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDWIN WARWICK
PRESIDENT
1742 FALLS RD
GRAFTON WI 53024

Officer/Director/Trustee Two

VICKI SHANEN
VICE PRESIDENT
2252 EDGEWATER DR
GRAFTON WI 53024

Officer/Director/Trustee Three

CASEY DIDIER
SECRETARY
1063 13TH AVE
GRAFTON WI 53024

Officer/Director/Trustee Four

DARREL BLANK
TREASURER
841 UNIT G CHEYENNE AVENUE
GRAFTON WI 53024

Organization’s website N/A
Organization’s email CASEYDIDIER@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2016
Organization Incorporation State WI
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: 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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