FORM 1023-EZ for VIRGINIA HISTORY FORUM

Field Data
EIN 83-0855022
Case Number EO-2018288-000432
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VIRGINIA HISTORY FORUM
Organization’s Mailing Address 606 MARSHALL ST
City LEXINGTON
State VA
ZIP 24450-1922
Accounting period End 12
Primary contact name NATHANIEL T MCCLESKEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WARREN HOFSTRA
PRESIDENT
506 W LEICESTER ST
WINCHESTER VA 22601

Officer/Director/Trustee Two

LYNN RAINVILLE
TREASURER
1726 DAIRY RD
CHARLOTTESVILLE VA 22903

Officer/Director/Trustee Three

NATHANIEL TURK MCCLESKEY
SECRETARY
606 MARSHALL ST
LEXINGTON VA 24450-1922

Officer/Director/Trustee Four

BRENT TARTER
VICE PRESIDENT
6418 PHILBROOK RD
NORTH CHESTERFIELD VA 23234

Officer/Director/Trustee Five

KATHERINE EGNER GRUBER
DIRECTOR
117 SHARPS RD
WILLIAMSBURG VA 23188

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/18
Organization Incorporation State VA
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: 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 NATHANIEL TURK MCCLESKEY
Signature Title SECRETARY
Signature Date 10/11/18

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