FORM 1023-EZ for COLISEUM MUSEUM OF ART ANTIQUES ANDAMERICANA FOUNDATION

Field Data
EIN 82-3549369
Case Number EO-2017338-000295
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLISEUM MUSEUM OF ART ANTIQUES ANDAMERICANA FOUNDATION
Organization’s Mailing Address 115 N 3RD STREET
City OREGON
State IL
ZIP 61061-1401
Accounting period End 12
Primary contact name DAVID L REICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS MAHONEY
PRESIDENT AND DIRECTOR
2778 ROGENE DRIVE
OREGON IL 61061-9626

Officer/Director/Trustee Two

RONALD BRY
VICE PRESIDENT AND DIRECTOR
300 S 4TH STREET
OREGON IL 61061-1831

Officer/Director/Trustee Three

PATRICK WIESNER
TREASURER AND DIRECTOR
1100 W WASHINGTON
OREGON IL 61061-1017

Officer/Director/Trustee Four

DONNA MANN
SECRETARY AND DIRECTOR
807 WEBSTER STREET
OREGON IL 61061-1937

Officer/Director/Trustee Five

KEN WILLIAMS
DIRECTOR
400 MIX STREET
OREGON IL 61061-1113

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2017
Organization Incorporation State IL
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 Yes
One Third Support Gifts No
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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