FORM 1023-EZ for FORT THOMAS MILITARY AND COMMUNITY HISTORY MUSEUM

Field Data
EIN 82-0828757
Case Number EO-2017108-000136
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORT THOMAS MILITARY AND COMMUNITY HISTORY MUSEUM
Organization’s Mailing Address 940 COCHRAN
City FORT THOMAS
State KY
ZIP 41075
Accounting period End 12
Primary contact name DEBBIE BUCKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBBIE BUCKLEY
DIRECTOR
130 N FORT THOMAS AVE
FORT THOMAS KY 41075

Officer/Director/Trustee Two

DEANNA BEINEKE
PRESIDENT, BOARD OF DIRECTORS
66 DAISY LANE
FORT THOMAS KY 41075

Officer/Director/Trustee Three

CHUCK KELLER
SECRETARY
1416 N FORT THOMAS AVE
FORT THOMAS KY 41075

Officer/Director/Trustee Four

LINDA SLONE
VICE PRESIDENT, TREASURER
46 FOREST AVE
FORT THOMAS KY 41075

Officer/Director/Trustee Five

CHUCK TAYLOR
DIRECTOR
124 W WALNUT
SOUTHGATE KY 41071

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2017
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A54 - History Museums
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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