FORM 1023-EZ for LONG CREEK HISTORICAL SOCIETY

Field Data
EIN 27-4005463
Case Number EO-2017170-000412
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONG CREEK HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 153
City LONG CREEK
State OR
ZIP 97856
Accounting period End 4
Primary contact name STANLEY L METZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MORROW
PRESIDENT
PO BOX 221
LONG CREEK OR 97856

Officer/Director/Trustee Two

STANLEY METZ
VICE PRESIDENT
PO BOX 132
LONG CREEK OR 97856

Officer/Director/Trustee Three

REIBA SMITH
SECETARY
PO BOX 188
LONG CREEK OR 97856

Officer/Director/Trustee Four

MARSIE WATSON
TREASURY
PO BOX 472
LONG CREEK OR 97856

Officer/Director/Trustee Five

GAYLENE PRUIT
PUBLIC RELATION
PO BOX 163
LONG CREEK OR 97856

Organization’s website
Organization’s email STANLEYLMETZ@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A54 - History Museums
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 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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