FORM 1023-EZ for WALCOTT HISTORICAL SOCIETY

Field Data
EIN 47-3619669
Case Number EO-2015197-000202
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WALCOTT HISTORICAL SOCIETY
Organization’s Mailing Address 661 SOUTH MAIN STREET
City WALCOTT
State IA
ZIP 52773
Accounting period End 12
Primary contact name KAREN PUCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN PUCK
CHAIRMAN
661 SOUTH MAIN STREET
WALCOTT IA 52773

Officer/Director/Trustee Two

BRENDA WARNER
VICE CHAIRMAN
PO BOX 422
WALCOTT IA 52773

Officer/Director/Trustee Three

SHERRY ROBERTS
SECRETARY
247 EAST FLAGG STREET
WALCOTT IA 52773

Officer/Director/Trustee Four

KAROLYN WILLIAMS
TREASURER
211 NORTH PARKER
WALCOTT IA 52773

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2015
Organization Incorporation State IA
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: 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 Yes
One Third Support Gifts No
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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