FORM 1023-EZ for VIRGIL HAWKINS HISTORICAL SOCIETY INC

Field Data
EIN 47-2920865
Case Number EO-2016210-000510
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VIRGIL HAWKINS HISTORICAL SOCIETY INC
Organization’s Mailing Address P O BOX 3455
City PLANT CITY
State FL
ZIP 33563
Accounting period End 12
Primary contact name HARLEY HERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HARLEY HERMAN
PRESIDENT
P O BOX 3455
PLANT CITY FL 33563

Officer/Director/Trustee Two

DAVID CONNELLY
VICE PRESIDENT/TREASURER
2108 WOODLAWN BLVD
LEESBURG FL 34748

Officer/Director/Trustee Three

BEVERLY ROBINSON
SECRETARY
5523 HWY 46
SOPERTON GA 30457

Officer/Director/Trustee Four

HARRIET LIVINGSTON
DIRECTOR
P O BOX 262
OKAHUMPKA FL 34762

Officer/Director/Trustee Five

BETTYE CONEY
DIRECTOR
P O BOX 491058
LEESBURG FL 34748

Organization’s website FLORIDASROSAPARKS.ORG
Organization’s email INFO@HERMANANDHERMANESQ.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2016
Organization Incorporation State FL
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: 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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