FORM 1023-EZ for ANDOVER HISTORICAL SOCIETY

Field Data
EIN 61-1314831
Case Number EO-2019150-000188
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANDOVER HISTORICAL SOCIETY
Organization’s Mailing Address 3 HEBRON ROAD
City ANDOVER
State CT
ZIP 6232-1306
Accounting period End 12
Primary contact name SCOTT YEOMANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT YEOMANS
PRESIDENT
3 HEBRON ROAD
ANDOVER CT 6232-1306

Officer/Director/Trustee Two

IRVING STANLEY
TREASURER
200 LONG HILL ROAD
ANDOVER CT 6232-1104

Officer/Director/Trustee Three

MICHEAL DONNELLY
VICE PRESIDENT
27 HEBRON ROAD
ANDOVER CT 6232-1307

Officer/Director/Trustee Four

DOROTHY YEOMANS
SECRETARY
63 BUNKERHILL ROAD
ANDOVER CT 6232-1334

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/78
Organization Incorporation State CT
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 SCOTT YEOMANS
Signature Title PRESIDENT
Signature Date 5/27/19

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