FORM 1023-EZ for FAIRBORN AREA HISTORICAL SOCIETY

Field Data
EIN 82-0653710
Case Number EO-2017240-000558
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAIRBORN AREA HISTORICAL SOCIETY
Organization’s Mailing Address 325 N 3RD ST
City FAIRBORN
State OH
ZIP 45324-4959
Accounting period End 12
Primary contact name MARY PACINDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY PACINDA
PRESIDENT
2408 RONA VILLAGE BLVD
FAIRBORN OH 45324-6018

Officer/Director/Trustee Two

ELLEN SLONE
TRERASURER
325 N 3RD ST
FAIRBORN OH 45324-4959

Officer/Director/Trustee Three

NANCY LOWREY
SECRETARY
1318 MEADOWLANDS DRIVE
FAIRBORN OH 45324-4300

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2016
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: 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
Signature Title
Signature Date

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