FORM 1023-EZ for SEDGWICK JAILHOUSE MUSEUM

Field Data
EIN 82-1382090
Case Number EO-2017124-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEDGWICK JAILHOUSE MUSEUM
Organization’s Mailing Address PO BOX 87
City SEDGWICK
State CO
ZIP 80749
Accounting period End 12
Primary contact name NANCY SAUDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY SAUDER
CHAIRMAN
315 MAIN AVE
SEDGWICK CO 80749

Officer/Director/Trustee Two

DAVE ERICKSON
VOTING BOARD MEMBER
25 STOCKHAM AVE
SEDGWICK CO 80749

Officer/Director/Trustee Three

JACOB HARTMAN
VOTING BOARD MEMBER
11927 CR 5
SEDGWICK CO 80749

Officer/Director/Trustee Four

KURT HODEL
VOTING BOARD MEMBER
507 MAIN AVE
SEDGWICK CO 80749

Officer/Director/Trustee Five

RHONDA JONES
SECRETARY/TREASURER
108 MILES AVE
SEDGWICK CO 80749

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2017
Organization Incorporation State CO
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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