FORM 1023-EZ for MADBURY HISTORICAL SOCIETY

Field Data
EIN 20-0375394
Case Number EO-2015317-000174
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MADBURY HISTORICAL SOCIETY
Organization’s Mailing Address 13 TOWN HALL RD
City MADBURY
State NH
ZIP 03823
Accounting period End 9
Primary contact name PAT GLESKE TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PETER LEAVENWORTH
PRESIDENT
16 FRENCH CROSS RD
MADBURY NH 03823

Officer/Director/Trustee Two

RIC ERICKSON
VICE-PRESIDENT
13 MOHARIMET DR
MADBURY NH 03823-7556

Officer/Director/Trustee Three

PAT GLESKE
TREASURER
59 MOHARIMET DR
MADBURY NH 03823

Officer/Director/Trustee Four

MARCIA ERICKSON
SECRETARY
13 MOHARIMET DR
MADBURY NH 03823-7556

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/1978
Organization Incorporation State NH
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: 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 Yes
One Third Support Gifts No
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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