FORM 1023-EZ for OZARK COUNTY HISTORIUM INC

Field Data
EIN 27-3299327
Case Number EO-2016012-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OZARK COUNTY HISTORIUM INC
Organization’s Mailing Address P O BOX 4
City GAINESVILLE
State MO
ZIP 65655
Accounting period End 6
Primary contact name PAUL WADE CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANET TABER
PRES
27068 STATE HWY 95
WASOLA MO 65773

Officer/Director/Trustee Two

JOHN AULT
V-PRES
75 CORN PATCH LANE
GAINESVILLE MO 65655

Officer/Director/Trustee Three

SUE ANN JONES
SEC-TREAS
339 DAVE JONES DRIVE
BRIXEY MO 65618

Officer/Director/Trustee Four

MIKE SPARKS
MEMBER
712 INDIAN GRASS WAY
RAYMORE MO 64083

Officer/Director/Trustee Five

THOMAS CLINE
MEMBER
115 HIGH ST
GAINESVILLE MO 65655

Organization’s website OZARKCOUNTYHISTORY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2010
Organization Incorporation State MO
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: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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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