FORM 1023-EZ for LONG MOUNTAIN LIVING HISTORY CENTER

Field Data
EIN 81-2060825
Case Number EO-2017297-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONG MOUNTAIN LIVING HISTORY CENTER
Organization’s Mailing Address 47 BULL CREEK WEST
City DAHLONEGA
State GA
ZIP 30533
Accounting period End 12
Primary contact name WIND CHAPMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALFRED CHANG
TRUSTEE
81 CROWN MOUNTAIN PLACE
DAHLONEGA GA 30533

Officer/Director/Trustee Two

KRISTINE PALMER
TREASURER
483 SWEET APPLE LANE
DAHLONEGA GA 30533

Officer/Director/Trustee Three

KATHRYN LOOKOFSKY
SECRETARY
525 FOREST ROAD
ATHENS GA 30605

Officer/Director/Trustee Four

ED REED
TRUSTEE
152 SOUTHER MILL OVERLOOK
BLAIRSVILLE GA 30512

Officer/Director/Trustee Five

PAUL CHAPMAN
DIRECTOR
47 BULL CREEK WEST
DAHLONEGA GA 30533

Organization’s website LMLHC.ORG
Organization’s email WIND@LMLHC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2016
Organization Incorporation State GA
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
Signature Title
Signature Date

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