FORM 1023-EZ for MATTOLE VALLEY HISTORICAL SOCIETY

Field Data
EIN 68-0455190
Case Number EO-2016033-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MATTOLE VALLEY HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 144
City PETROLIA
State CA
ZIP 95558-0144
Accounting period End 6
Primary contact name DYAN CUSHING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAURA COOSKEY-WALKER
CHIEF EXECUTIVE OFFICER
PO BOX 144
PETROLIA CA 95558-0144

Officer/Director/Trustee Two

KEN YOUNG
SECRETARY
PO BOX 144
PETROLIA CA 95558-0144

Officer/Director/Trustee Three

DYAN CUSHING
TREASURER
PO BOX 144
PETROLIA CA 95558-0144

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2015
Organization Incorporation State CA
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 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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