FORM 1023-EZ for DAYTON AREA HISTORICAL SOCIETY

Field Data
EIN 81-2877160
Case Number EO-2017093-000358
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DAYTON AREA HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 45
City DAYTON
State IA
ZIP 50530-0045
Accounting period End 12
Primary contact name MARK L HEMMINGSON ATTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH L SANDERS
PRESIDENT
402 FIRST STREET NW
DAYTON IA 50530-7620

Officer/Director/Trustee Two

KENDRA A BREITSPRECHER
SECRETARY
302 FIRST STREET NW
DAYTON IA 50530-7619

Officer/Director/Trustee Three

MEREDITH A GALLENTINE
TREASURER
407 SECOND STREET NE
DAYTON IA 50530

Officer/Director/Trustee Four

JOHN R SKOGLUND
DIRECTOR
308 NORTH MAIN STREET
DAYTON IA 50530

Officer/Director/Trustee Five

KEVIN P DIEHL
DIRECTOR
109 EIGHTH STREET SW
DAYTON IA 50530-7695

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
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 Yes
One Third Support Gifts No
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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