FORM 1023-EZ for FRATERNAL ORDER OF EAGLES MEMORIAL MUSEUM

Field Data
EIN 27-0716615
Case Number EO-2016292-000132
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRATERNAL ORDER OF EAGLES MEMORIAL MUSEUM
Organization’s Mailing Address 1993 S MARKET BLVD
City CHEHALIS
State WA
ZIP 98532
Accounting period End 12
Primary contact name SUSIE ASHMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELLEN BLAKELY
CHAIRMAN
10410 11TH AVE CT S
PARKLAND WA 98444

Officer/Director/Trustee Two

GARL LUCAS
VICE CHAIRMAN
P O BOX 267
PACKWOOD WA 98361

Officer/Director/Trustee Three

SUSIE ASHMORE
SECRETASRY-TREASURER
852 STATE ROUTE 508
CHEHALIS WA 98532

Officer/Director/Trustee Four

JOHN NOLDAN
DIRECTOR
1390 EAST TRAILS END DR
BELFAIR WA 98528

Officer/Director/Trustee Five

JOANNA ANDERSON
DIRECTOR
1701 N TOWER
CENTRALIA WA 98531

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2008
Organization Incorporation State WA
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: 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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