FORM 1023-EZ for SMITHVILLE MISSOURI HISTORICAL SOCIETY

Field Data
EIN 82-4823971
Case Number EO-2018141-000456
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SMITHVILLE MISSOURI HISTORICAL SOCIETY
Organization’s Mailing Address P O BOX 270
City SMITHVILLE
State MO
ZIP 64089
Accounting period End 12
Primary contact name CAROL DAWKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLLINS FORD KINDRED
PRESIDENT/DIRECTOR
1105 HIGHWAY 169 S
SMITHVILLE MO 64089

Officer/Director/Trustee Two

MARIA N JUSTUS
SECRETARY/DIRECTOR
1215 ASPEN DRIVE
SMITHVILLE MO 64089

Officer/Director/Trustee Three

TRUDY LAFORCE
DIRECTOR
411 188TH ST NE
SMITHVILLE MO 64089

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/66
Organization Incorporation State MO
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 COLLINS FORD KINDRED
Signature Title PRESIDENT/DIRECTOR
Signature Date 5/17/18

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