FORM 1023-EZ for WATERFORD HISTORICAL SOCIETY INC

Field Data
EIN 81-1694033
Case Number EO-2016069-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WATERFORD HISTORICAL SOCIETY INC
Organization’s Mailing Address 532 MAPLE STREET
City LOWER WATERFORD
State VT
ZIP 05848
Accounting period End 12
Primary contact name ROBERTA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONNA RAE HEATH
PRESIDENT
271 WALSH ROAD
WATERFORD VT 05819

Officer/Director/Trustee Two

HELEN PIKE
VICE PRESIDENT
843-A LOWER WATERFORD ROAD
WATERFORD VT 05819

Officer/Director/Trustee Three

ROBERTA SMITH
SECRETARY TREASURER
PO BOX 155
LOWER WATERFORD VT 05848

Officer/Director/Trustee Four

CRAIG BROWN
DIRECTOR
PO BOX 47
BARNET VT 05821

Officer/Director/Trustee Five

TANYA POWERS
DIRECTOR
2535 OLD COUNTY ROAD
WAGTERFORD VT 05819

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2015
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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