FORM 1023-EZ for LEBANON MUSEUM FOUNDATION

Field Data
EIN 83-2154699
Case Number EO-2018284-000118
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEBANON MUSEUM FOUNDATION
Organization’s Mailing Address 312 E SHERMAN STREET
City LEBANON
State OR
ZIP 97355
Accounting period End 12
Primary contact name PAUL AZIZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL AZIZ
PRESIDENT
312 E SHERMAN ST
LEBANON OR 97355

Officer/Director/Trustee Two

ALLEN COLLINS
VICE PRESIDENT
860 W OAK STREET
LEBANON OR 97355

Officer/Director/Trustee Three

JAMI CATE
SECRETARY
37251 GORE DRIVE
LEBANON OR 97355

Officer/Director/Trustee Four

NICHOLE BOWMAN
TREASURER
340 S WILLIAMS ST
LEBANON OR 97355

Organization’s website WWW.LEBANONMUSEUM.ORG
Organization’s email INFO@LEBANONMUSEUM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/18
Organization Incorporation State OR
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: 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 PAUL AZIZ
Signature Title PRESIDENT
Signature Date 10/9/18

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