FORM 1023-EZ for HISTORICAL SOCIETY OF MIDDLETON INC

Field Data
EIN 46-2727700
Case Number EO-2016277-000397
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HISTORICAL SOCIETY OF MIDDLETON INC
Organization’s Mailing Address POBOX 834
City MIDDLETON
State ID
ZIP 83644
Accounting period End 12
Primary contact name DEB SANDBORGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLINTON MINER
DIRECTOR
8972 NEW CASTLE DR
MIDDLETON ID 83644

Officer/Director/Trustee Two

BECKY OMEARA
VICE PRESIDENT
501 N DEWEY AVE
MIDDLETON ID 83644

Officer/Director/Trustee Three

BECKY CROFTS
PRESIDENT
586 KENNEDY CT
MIDDLETON ID 83644

Officer/Director/Trustee Four

CLAUDIA MOBERLY
SECRETARY
10210 WILLIS RD
MIDDLETON ID 83644

Officer/Director/Trustee Five

TIM OMEARA
TREASURER
501 N DEWEY AVE
MIDDLETON ID 83644

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2013
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A54 - History Museums
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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