FORM 1023-EZ for FRIENDS OF THE HISTORICAL AG MUSEUM OF LPC

Field Data
EIN 81-4908794
Case Number EO-2017027-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF THE HISTORICAL AG MUSEUM OF LPC
Organization’s Mailing Address PO BOX 6
City LA PORTE CITY
State IA
ZIP 50651-0006
Accounting period End 12
Primary contact name SHERRY SHEFFLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DELORES BADER
DIRECTOR
809 COMMERCIAL STREET
LA PORTE CITY IA 50651

Officer/Director/Trustee Two

ROCKY BROWN
DIRECTOR
7537 E TAMA ROAD
LA PORTE CITY IA 50651

Officer/Director/Trustee Three

DEB HUCK
DIRECTOR
1096 - 280TH STREET LOT 13
JESUP IA 50648

Officer/Director/Trustee Four

KYLE JENSSON
DIRECTOR
800 MONROE STREET
LA PORTE CITY IA 50651

Officer/Director/Trustee Five

SHERRY SHEFFLER
INCORPORATOR
12727 KOBER RD
LA PORTE CITY IA 50651

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2016
Organization Incorporation State IA
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: 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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