FORM 1023-EZ for CARBONDALE COMMUNITY HISTORICAL SOCIETY INC

Field Data
EIN 87-1131760
Case Number EO-2021193-000758
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARBONDALE COMMUNITY HISTORICAL SOCIETY INC
Organization’s Mailing Address 118 N NORRIS ST
City CARBONDALE
State KS
ZIP 66414
Accounting period End 12
Primary contact name KEYTA KELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN BESSETTE
PRESIDENT
2182 W 133RD ST
CARBONDALE KS 66414

Officer/Director/Trustee Two

MARY BURGETT
VICE PRESIDENT
2806 W 133RD ST
CARBONDALE KS 66414

Officer/Director/Trustee Three

TRACY CASHIER
TREASURER
118 N NORRIS ST
CARBONDALE KS 66414

Officer/Director/Trustee Four

LANEA LOSSON
SECRETARY
314 W 125TH ST
CARBONDALE KS 66414

Organization’s website
Organization’s email CARBONDALE150@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2021
Organization Incorporation State KS
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 SUSAN BESSETTE
Signature Title PRESIDENT
Signature Date 7/8/2021

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