FORM 1023-EZ for BEAR LAKE AREA HISTORICAL SOCIETY INC

Field Data
EIN 82-1366593
Case Number EO-2017128-000098
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEAR LAKE AREA HISTORICAL SOCIETY INC
Organization’s Mailing Address PO BOX 7
City BEAR LAKE
State MI
ZIP 49614-0007
Accounting period End 12
Primary contact name JOHN B DAUGHERTY ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY HARTHUN
PRESIDENT/DIRECTOR
PO BOX 7
BEAR LAKE MI 49614-0007

Officer/Director/Trustee Two

THOMAS MALLISON
TREASURER/DIRECTOR
PO BOX 7
BEAR LAKE MI 49614-0007

Officer/Director/Trustee Three

WILLIAM MERRIMAN
VICE PRESIDENT/DIRECTOR
PO BOX 7
BEAR LAKE MI 49614-0007

Officer/Director/Trustee Four

RITA BRISBIN
SECRETARY/DIRECTOR
PO BOX 7
BEAR LAKE MI 49614-0007

Officer/Director/Trustee Five

PAULINE JAQUISH
MUSEUM DIRECTOR/DIRECTOR
PO BOX 7
BEAR LAKE MI 49614-0007

Organization’s website
Organization’s email JBDPLC@SBCGLOBAL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2017
Organization Incorporation State MI
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: Yes
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 Yes
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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