FORM 1023-EZ for THE JACK RUSSELL TERRIER MUSEUM ANDCRAWFORD LIBRARY INC

Field Data
EIN 82-1950658
Case Number EO-2017191-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE JACK RUSSELL TERRIER MUSEUM ANDCRAWFORD LIBRARY INC
Organization’s Mailing Address 10534 YORK RD STE 102
City HUNT VALLEY
State MD
ZIP 21030
Accounting period End 12
Primary contact name SALLY HICKEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SALLY HICKEY
PRESIDENT, DIRECTOR
10335 BRIDGEPORT RD
ARVONIA VA 23004

Officer/Director/Trustee Two

CATHERINE BROWN
SECRETARY, DIRECTOR
5192 S LIVONIA RD
LIVONIA NY 14487

Officer/Director/Trustee Three

WAYNE MAY
TREASURER, DIRECTOR
188 WARWICK RD
DUNNSVILLE VA 22454

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2017
Organization Incorporation State MD
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: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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