FORM 1023-EZ for MASSAC HISTORICAL VILLAGE NFP

Field Data
EIN 86-2777665
Case Number EO-2021167-000100
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MASSAC HISTORICAL VILLAGE NFP
Organization’s Mailing Address PO BOX 653
City METROPOLIS
State IL
ZIP 62960
Accounting period End 12
Primary contact name JOAN WIENTJES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOAN WIENTJES
TREASURER & DIRECTOR
3042 LAKEVIEW DR
METROPOLIS IL 62960-3119

Officer/Director/Trustee Two

BONNIE GRACE
PRESIDENT & DIRECTOR
3 AVALON LANE
METROPOLIS IL 62960-3140

Officer/Director/Trustee Three

PATRICIA HUGHES
VICE PRES & DIRECTOR
9640 MELDALE DR
WEST PADUCAH KY 42086-9421

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 JOAN WIENTJES
Signature Title TREASURER & DIRECTOR
Signature Date 6/14/2021

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