FORM 1023-EZ for EAST MADISON HISTORICAL ASSOCIATION

Field Data
EIN 27-3115010
Case Number EO-2017317-000106
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EAST MADISON HISTORICAL ASSOCIATION
Organization’s Mailing Address 883 EAST MADISON ROAD
City MADISON
State ME
ZIP 04950
Accounting period End 12
Primary contact name BARBARA GILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY MALBON
PRESIDENT
295 EAST MADISON ROAD
MADISON ME 04950

Officer/Director/Trustee Two

ERIC LAHTI
VICE PRESIDENT
29 GRANGE ROAD
MADISON ME 04950

Officer/Director/Trustee Three

CATHY EDGERLY
TREASURER
888 EAST MADISON ROAD
MADISON ME 04950

Officer/Director/Trustee Four

CATHY EDGERLY
SECRETARY
888 EAST MADISON ROAD
MADISON ME 04950

Officer/Director/Trustee Five

BARBARA GILLIS
GRANT WRITER
378 EAST MADISON ROAD
MADISON ME 04950

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2010
Organization Incorporation State ME
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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