FORM 1023-EZ for MONROE HISTORICAL SOCIETY

Field Data
EIN 81-4021121
Case Number EO-2016287-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONROE HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 183
City HARRIMAN
State NY
ZIP 10926-0183
Accounting period End 3
Primary contact name JAMES A NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOLLY DEAN-OSER
PRESIDENT
PO BOX 625
UNIONVILLE NY 10988

Officer/Director/Trustee Two

CHRIS NADEAU
VICE PRESIDENT
SOUTH KEARNY AVE
HARRIMAN NY 10926

Officer/Director/Trustee Three

IRIS SASSON
SECRETARY
PO BOX 197
MONROE NY 10949-0197

Officer/Director/Trustee Four

JAMES NELSON
TREASURER
608 ARLIN RD
MONROE NY 10950-1400

Officer/Director/Trustee Five

DAVID ROMAN
TRUSTEE
20 WICKHAM DR
WARWICK NY 10990

Organization’s website MONROEHISTORYNY.ORG
Organization’s email MONROEHISTORICALSOCIETY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2014
Organization Incorporation State NY
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: Yes
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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