FORM 1023-EZ for YALOBUSHA COUNTY HISTORICAL SOCIETY

Field Data
EIN 64-0680791
Case Number EO-2014294-000068
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YALOBUSHA COUNTY HISTORICAL SOCIETY
Organization’s Mailing Address P O BOX 258
City COFFEEVILLE
State MS
ZIP 38922
Accounting period End 12
Primary contact name GEORGE M WORSHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEORGE WORSHAM
PRESIDENT
2211 COUNTY RD 232
OAKLAND MS 38948

Officer/Director/Trustee Two

JOHN PERKINS
VICE PRESIDENT
110 MCLARTY CI
WATER VALLEY MS 38965

Officer/Director/Trustee Three

DEBBY HUGHES
TREASURER
11380 HWY 32
WATER VALLEY MS 38965

Officer/Director/Trustee Four

JOY TIPPIT
SECRETARY
4973 HWY 51
OAKLAND MS 38948

Officer/Director/Trustee Five

DAVE HOVEY
DIRECTOR
4200 COUNTY RD
COFFEEVILLE MS 38922

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/1976
Organization Incorporation State MS
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: 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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