FORM 1023-EZ for BROOKLYN AREA HISTORICAL SOCIETY

Field Data
EIN 47-3396684
Case Number EO-2015075-000433
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROOKLYN AREA HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 278
City BROOKLYN
State MI
ZIP 49230
Accounting period End 12
Primary contact name CHAD A PERRINE - ATTORNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM KERR
PRESIDENT
11667 HAYES ROAD
BROOKLYN MI 49230

Officer/Director/Trustee Two

JOHN NEELY
TREASURER
426 CONSTITUTION DRIVE
BROOKLYN MI 49230

Officer/Director/Trustee Three

HOLLY COGAN
SECRETARY
2215 SPRINGPORT ROAD
JACKSON MI 49202

Officer/Director/Trustee Four

KAREN KERR
DIRECTOR
11667 HAYES ROAD
BROOKLYN MI 49230

Officer/Director/Trustee Five

LINDA REYNOLDS
DIRECTOR
PO BOX 51
CLARKLAKE MI 49234

Organization’s website N-A
Organization’s email CLARKLAKELINDA@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2015
Organization Incorporation State MI
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: Yes
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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