FORM 1023-EZ for WILLIAMS BAY HISTORICAL SOCIETY

Field Data
EIN 46-3705485
Case Number EO-2017310-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLIAMS BAY HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 678
City WILLIAMS BAY
State WI
ZIP 53191
Accounting period End 12
Primary contact name PATRICIA GROVE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA GROVE
PRESIDENT
511 WOODLAWN COURT
WILLIAMS BAY WI 53191

Officer/Director/Trustee Two

HENRY KENYON
VICE PRESIDENT
915 ROYAL DRIVE
MCHENRY IL 60050

Officer/Director/Trustee Three

SUSAN VAVRA
SECRETARY
35 ORCHARD STREET
WILLIAMS BAY WI 53191

Officer/Director/Trustee Four

DIANNA WOSS
TREASURER
2721 THEATRE ROAD
WILLIAMS BAY WI 53191

Organization’s website WMSBAYHISTORY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2013
Organization Incorporation State WI
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: Yes
Religious: No
Educational: No
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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