FORM 1023-EZ for ELKHART COUNTY MUSEUM ASSOCIATION

Field Data
EIN 35-2093123
Case Number EO-2020015-000280
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELKHART COUNTY MUSEUM ASSOCIATION
Organization’s Mailing Address 211 W LINCOLN AVE
City GOSHEN
State IN
ZIP 46526
Accounting period End 12
Primary contact name KELBY ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTHA OWEN
PRESIDENT
302 W MARKET ST
NAPPANEE IN 46550

Officer/Director/Trustee Two

ALLEN STEWART
VICE PRESIDENT
1915 CASSOPOLIS ST
ELKHART IN 46514

Officer/Director/Trustee Three

KELBY ROSE
TREASURER
211 W LINCOLN AVE
GOSHEN IN 46526

Officer/Director/Trustee Four

JAMISON CZARNECKI
SECRETARY
1717 LUSHER AVE
ELKHART IN 46516

Organization’s website HTTP://WWW.ELKHARTCOUNTYMUSEUMS.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/1999
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
Organization’s purpose Charitable: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KELBY ROSE
Signature Title TREASURER
Signature Date 1/13/2020

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