FORM 1023-EZ for MOSINEE AREA HISTORICAL SOCIETY INC

Field Data
EIN 47-1197673
Case Number EO-2016029-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOSINEE AREA HISTORICAL SOCIETY INC
Organization’s Mailing Address 663 KRIS LANE
City MOSINEE
State WI
ZIP 54455-9208
Accounting period End 5
Primary contact name DEBRA A NELLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBRA NELLES
PRESIDENT AND CHAIRMAN OF BOARD
663 KRIS LANE
MOSINEE WI 54455-9208

Officer/Director/Trustee Two

RUTH TRNKA
TREASURER
608 15TH STREET
MOSINEE WI 54455-1019

Officer/Director/Trustee Three

SUE MORAN
VICE-PRESIDENT
221 CORN ROAD
MOSINEE WI 54455-8973

Officer/Director/Trustee Four

NANCY DAHLKE
SECRETARY
4177 WEST HWY 153
EDGAR WI 54426-9357

Officer/Director/Trustee Five

EMIL WASHIEWSKI
DIRECTOR
1903 VANDERWAAL STREET
MOSINEE WI 54455-9051

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2014
Organization Incorporation State WI
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: Yes
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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