FORM 1023-EZ for SEIFERT SHORT RUSSELL FOLK ART DOLLMUSEUM LEARNING CENTER

Field Data
EIN 47-2044569
Case Number EO-2015280-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEIFERT SHORT RUSSELL FOLK ART DOLLMUSEUM LEARNING CENTER
Organization’s Mailing Address 113 E THIRD STREET
City MADISON
State IN
ZIP 47250
Accounting period End 12
Primary contact name MARK WYNN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARGARET SEIFERT-RUSSELL
DIRECTOR
254 GARRITT ST
HANOVER IN 47243

Officer/Director/Trustee Two

GREGORY RUSSELL
DIRECTOR
254 GARRITT ST
HANOVER IN 47243

Officer/Director/Trustee Three

MARTA BELT
DIRECTOR
5345 W QUAIL RUN LANE
MADISON IN 47250

Officer/Director/Trustee Four

ALISSA HORSEMAN
DIRECTOR
340 SOMERSET ST
STANFORD KY 40484

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A52 - Children's 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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