FORM 1023-EZ for SCOTT COUNTY MUSEUM OF HISTORY

Field Data
EIN 87-1284867
Case Number EO-2021190-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SCOTT COUNTY MUSEUM OF HISTORY
Organization’s Mailing Address P O BOX 1825
City WALDRON
State AR
ZIP 72958-1825
Accounting period End 12
Primary contact name SHERRY JOHNSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARRETT TYLER RICHARDSON
PRESIDENT
1071 MCENTIRE STREET
WALDRON AR 72958-8335

Officer/Director/Trustee Two

JACOB PARKS
VICE PRESIDENT
7107 W HWY 248
WALDRON AR 72958-8998

Officer/Director/Trustee Three

ANGELA HUNSUCKER
SECRETARY
P O BOX 713
WALDRON AR 72958-0713

Officer/Director/Trustee Four

SHERRY JOHNSTON
TREASURER
525 WEST 4TH ST
WALDRON AR 72958-7201

Officer/Director/Trustee Five

CAROLYN HANNA
MEDIA OFFICER
2112 W HWY 28
WALDRON AR 72958-7321

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2021
Organization Incorporation State AR
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 SHERRY JOHNSTON
Signature Title TREASURER
Signature Date 7/8/2021

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