FORM 1023-EZ for BELTON HISTORICAL SOCIETY

Field Data
EIN 43-1156114
Case Number EO-2016175-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELTON HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 1144
City BELTON
State MO
ZIP 64012
Accounting period End 9
Primary contact name ROBERT W POWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT POWELL
PRESIDENT
802 MAIN STREET
BELTON MO 64012

Officer/Director/Trustee Two

ED MAURER
TREASURER
1006 ROYAL COURT
BELTON MO 64012

Officer/Director/Trustee Three

PAMELA POWELL
RECORDING SECRETARY
802 MAIN STREET
BELTON MO 64012

Officer/Director/Trustee Four

WOODROW DICK
CORRESPONDING SECRETARY
210 CHERRY HILL DRIVE
BELTON MO 64012

Officer/Director/Trustee Five

JANNA DILLON
DIRECTOR
16501 FAIRWAY DRIVE
BELTON MO 64012

Organization’s website BELTONHISTORICALSOCIETY.ORG
Organization’s email BELTONHISTORICAL@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/1977
Organization Incorporation State MO
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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