FORM 1023-EZ for OLE BROOK MOTOR MUSEUM

Field Data
EIN 82-3763030
Case Number EO-2019288-000363
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OLE BROOK MOTOR MUSEUM
Organization’s Mailing Address 4001 CABELL LANE
City JACKSON
State MS
ZIP 39206
Accounting period End 12
Primary contact name WILLIAM J DUKES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER KEES
CHAIRMAN, TREASURER, DIRECTOR
4001 CABELL LANE
JACKSON MS 39206

Officer/Director/Trustee Two

WILLIAM JACOBS
PRESIDENT, DIRECTOR
1858 E LINCOLN RD SE
BROOKHAVEN MS 39601

Officer/Director/Trustee Three

JANE CLARY
SECRETARY, DIRECTOR
6964 S GARFIELD WAY
CENTENNIAL CO 80122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/17
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
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 CHRISTOPHER KEES
Signature Title CHAIRMAN, TREASURER, DIRECTOR
Signature Date 10/11/19

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