FORM 1023-EZ for PETERS CREEK HISTORICAL SOCIETY

Field Data
EIN 25-1778027
Case Number EO-2017058-000703
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PETERS CREEK HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 208
City VENETIA
State PA
ZIP 15367
Accounting period End 12
Primary contact name KEVIN LUSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETTY AMATO
PRESIDENT
409 FOREST DRIVE
HOUSTON PA 15342

Officer/Director/Trustee Two

LEN MARRACCINI
VICE PRESIDENT
6337 JACK STREET
FINLEYVILLE PA 15332

Officer/Director/Trustee Three

LIZ BOLLINGER
SECRETARY
3498 WASHINGTON AVENUE
FINLEYVILLE PA 15332

Officer/Director/Trustee Four

CLAIRE AHEARN
TREASURER
151 AMMONS DRIVE
MCMURRAY PA 15317

Organization’s website WWW.PETERSCREEKHISTORICALSOCIETY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1967
Organization Incorporation State PA
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: 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 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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