FORM 1023-EZ for ELROY AREA HISTORICAL SOCIETY INC

Field Data
EIN 39-1692107
Case Number EO-2015113-000187
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELROY AREA HISTORICAL SOCIETY INC
Organization’s Mailing Address PO BOX 35
City ELROY
State WI
ZIP 53929
Accounting period End 12
Primary contact name ROGER CAMPFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ZACK BENDER
PRESIDENT OFFICER
839 FIELD AV
HILLSBORO WI 54634

Officer/Director/Trustee Two

PAUL PFEIFER
VICE PRESIDENT OFFICER
W9187 CO HWY O
ELROY WI 53929

Officer/Director/Trustee Three

ROGER CAMPFIELD
TREASURER OFFICER
101 ROYALL AVE
ELROY WI 53929

Officer/Director/Trustee Four

DONNA RAWN
SECETARY OFFICER
112 GROVE AVE
ELROY WI 53929

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/1990
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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