FORM 1023-EZ for CLARKSBURG HISTORY MUSEUM INC

Field Data
EIN 84-1808352
Case Number EO-2019190-000132
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLARKSBURG HISTORY MUSEUM INC
Organization’s Mailing Address 445 WEST MAIN STREET
City CLARKSBURG
State WV
ZIP 26301-445
Accounting period End 12
Primary contact name R MARK KIGER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL SPATAFORE
PRESIDENT
1337 N 19TH STREET
CLARKSBURG WV 26301

Officer/Director/Trustee Two

MARSHA VIGLIANCO
SECRETARY
530 WEST MAIN STREET
CLARKSBURG WV 26301

Officer/Director/Trustee Three

WORTHY POE
TREASURER
P O BOX 353
LOST CREEK WV 26385

Officer/Director/Trustee Four

PETE SECRET
DIRECTOR
600 SKYVIEW DRIVE
CLARKSBURG WV 26301

Officer/Director/Trustee Five

MARILYN BLAKE
DIRECTOR
1806 BUFFALO CREEK ROAD
LOST CREEK WV 26385

Organization’s website
Organization’s email CLARKSBURGHISTORYMUSEUM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/19
Organization Incorporation State WV
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 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 MICHAEL SPATAFORE
Signature Title PRESIDENT
Signature Date 7/3/19

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