FORM 1023-EZ for FORT ANN HISTORICAL SOCIETY

Field Data
EIN 20-3281976
Case Number EO-2017312-000235
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORT ANN HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 494
City FORT ANN
State NY
ZIP 12827
Accounting period End 12
Primary contact name ARLENE GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARLENE GREEN
PRESIDENT
12 MOUNTAIN VIEW RD POB 209
FORT ANN NY 12827

Officer/Director/Trustee Two

DALE GRINNELL
VICE PRESIDENT
5690 STATE ROUTE 4
FORT ANN NY 12827

Officer/Director/Trustee Three

CAROLYN OUDERKIRK
SECRETARY
100B GENTRY LANE
QUEENSBURY NY 12804

Officer/Director/Trustee Four

MAUREEN BARBER
TREASURER
37 SUNSET ROAD
FORT ANN NY 12827

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2005
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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