FORM 1023-EZ for PORT WASHINGTON-SALEM HISTORICAL SOCIETY

Field Data
EIN 81-3107409
Case Number EO-2016187-000339
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PORT WASHINGTON-SALEM HISTORICAL SOCIETY
Organization’s Mailing Address 225 E MAIN ST
City PORT WASHINGTON
State OH
ZIP 43837
Accounting period End 12
Primary contact name KATHLEEN SULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN SULLIVAN
PRESIDENT
225 E MAIN ST
PORT WASHINGTON OH 43837

Officer/Director/Trustee Two

JUDY STEINBACH
VICE PRESIDENT
401 E ARCH ST
PORT WASHINGTON OH 43837

Officer/Director/Trustee Three

PEARL HANNER
SECRETARY
126 TOMAHAWK DR
GNADENHUTTEN OH 44629

Officer/Director/Trustee Four

JOYCE HIBINGER
TREASURER
207 SCHOOL ST
PORT WASHINGTON OH 43837

Officer/Director/Trustee Five

MICHAEL COCHRAN
BOARD MEMBER
5261 BAKER RD SW
PORT WASHINGTON OH 43837

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/1978
Organization Incorporation State OH
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: Yes
Religious: No
Educational: No
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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