FORM 1023-EZ for LINDEN HISTORICAL SOCIETY AND MUSEUM

Field Data
EIN 83-1161075
Case Number EO-2018319-000030
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LINDEN HISTORICAL SOCIETY AND MUSEUM
Organization’s Mailing Address PO BOX 715
City LINDEN
State CA
ZIP 95236
Accounting period End 12
Primary contact name JAY COLOMBINI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON COLOMBINI
PRESIDENT
24700 E SHELTON ROAD
LINDEN CA 95236

Officer/Director/Trustee Two

JAY COLOMBINI
TREASURER
24700 E SHELTON ROAD
LINDEN CA 95236

Officer/Director/Trustee Three

VICTOR SOLARI
VICE PRESIDENT
22107 E HIGHWAY 26
LINDEN CA 95236

Officer/Director/Trustee Four

DIANNE DRIEVER
SECRETARY
20862 E WALNUT DRIVE
LINDEN CA 95236

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/18
Organization Incorporation State CA
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: 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 JAY COLOMBINI
Signature Title TREASURER
Signature Date 11/11/18

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