FORM 1023-EZ for JEWELL HISTORICAL SOCIETY

Field Data
EIN 82-2613500
Case Number EO-2017243-000118
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEWELL HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 142
City JEWELL
State IA
ZIP 50130-0142
Accounting period End 12
Primary contact name ELLEN HENRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRUCE G JOHNSON JR
PRESIDENT/TREASURER
210 EDWARDS ST
JEWELL IA 50130-0142

Officer/Director/Trustee Two

RICHARD STEFFEN
VICE PRESIDENT
109 ANDERSON ST
JEWELL IA 50130

Officer/Director/Trustee Three

KRIS KOEHNK
SECRETARY
535 DIVISION ST
JEWELL IA 50130-0400

Officer/Director/Trustee Four

ALAN SPOHNHEIMER
DIRECTOR
2617 NORTHWESTERN AVE
AMES IA 50010

Officer/Director/Trustee Five

KENNETH OUTZEN
DIRECTOR
548 EAST LANE
JEWELL IA 50130-0276

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2017
Organization Incorporation State IA
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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