FORM 1023-EZ for TEXAS HISTORY MUSEUM

Field Data
EIN 83-1635888
Case Number EO-2018260-000517
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEXAS HISTORY MUSEUM
Organization’s Mailing Address 1803 YAUPON VALLEY
City WEST LAKE HILLS
State TX
ZIP 78746-3418
Accounting period End 12
Primary contact name BEN PEAYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEN PEAYS
DIRECTOR
1803 YAUPON VALLEY
WEST LAKE HILLS TX 78746-3418

Officer/Director/Trustee Two

STEVE JENSEN
TREASURER
4201 MONTEREY OAKS BLVD UNIT 901
AUSTIN TX 78749

Officer/Director/Trustee Three

JOHN PEAYS
SECRETARY
200 MCKELLAR RD
DRIPPING SPRINGS TX 78620

Officer/Director/Trustee Four

NICK JENSEN
TRUSTEE
4007 SEPTEMBER SONG DR
MANCHACA TX 78652

Officer/Director/Trustee Five

SETH MAGNUSON
TRUSTEE
2204 BARNETT DRIVE
AUSTIN TX 78613

Organization’s website
Organization’s email BENPEAYS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N54 -
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 BEN PEAYS
Signature Title DIRECTOR
Signature Date 9/14/18

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