FORM 1023-EZ for GROTON COMMUNITY HISTORICAL SOCIETY

Field Data
EIN 81-1326841
Case Number EO-2016040-000014
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GROTON COMMUNITY HISTORICAL SOCIETY
Organization’s Mailing Address 206 N 3RD STREET
City GROTON
State SD
ZIP 57445
Accounting period End 12
Primary contact name RICHARD KOLKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALFRED C TASTAD
PRESIDENT
206 N 3RD STREET
GROTON SD 57445

Officer/Director/Trustee Two

JAY D WAAGE
1ST VICE PRESIDENT
1105 N 3RD STREET
GROTON SD 57445

Officer/Director/Trustee Three

CLINT FJELSTAD
2ND VICE PRESIDENT
302 N 3RD STREET
GROTON SD 57445

Officer/Director/Trustee Four

MARCY BLACKMUN
TREASURER
201 E 11TH AVENUE
GROTON SD 57445

Officer/Director/Trustee Five

RICHARD KOLKER
SECRETARY
102 N MAIN STREET
GROTON SD 57445

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2015
Organization Incorporation State SD
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 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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