FORM 1023-EZ for HUNTSBURG HISTORICAL SOCIETY

Field Data
EIN 37-1780405
Case Number EO-2015124-000110
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUNTSBURG HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 308
City HUNTSBURG
State OH
ZIP 44046-0308
Accounting period End 4
Primary contact name CARL J SELISKAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TITAN PILARCZYK
PRESIDENT
12050 MADISON ROAD
HUNTSBURG OH 44046

Officer/Director/Trustee Two

JOSHUA BURTON
VICE-PRESIDENT
11154 CLAY STREET
HUNTSBURG OH 44046

Officer/Director/Trustee Three

ELAINE SELISKAR
SECRETARY
16267 MAYFIELD ROAD
HUNTSBURG OH 44046-0308

Officer/Director/Trustee Four

JENNIFER PILARCZYK
TREASURER
12050 MADISON ROAD
HUNTSBURG OH 44046

Officer/Director/Trustee Five

CARL SELISKAR
TRUSTEE
16267 MAYFIELD ROAD
HUNTSBURG OH 44046-0308

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2014
Organization Incorporation State OH
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: 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
Signature Title
Signature Date

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