FORM 1023-EZ for ALICE MOSELEY FOLK ART AND ANTIQUEMUSEUM

Field Data
EIN 30-0266310
Case Number EO-2018239-000581
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALICE MOSELEY FOLK ART AND ANTIQUEMUSEUM
Organization’s Mailing Address PO BOX 2069
City BAY ST LOUIS
State MS
ZIP 39521-2069
Accounting period End 12
Primary contact name LONNIE FALGOUT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LONNIE FALGOUT
EXECUTIVE DIRECTOR
146 ELAINE DRIVE
BAY ST LOUIS MS 39520-3330

Organization’s website WWW.ALICEMOSELEY.COM
Organization’s email ALICEMOSELEY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/04
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A51 - Art Museums
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LONNIE FALGOUT
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/23/18
EIN 30-0266310
Case Number EO-2018239-000581
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALICE MOSELEY FOLK ART AND ANTIQUE MUSEUM
Organization’s Mailing Address PO BOX 2069
City BAY ST LOUIS
State MS
ZIP 39521-2069
Accounting period End 12
Primary contact name LONNIE FALGOUT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LONNIE FALGOUT
EXECUTIVE DIRECTOR
146 ELAINE DRIVE
BAY ST LOUIS MS 39520-3330

Organization’s website WWW.ALICEMOSELEY.COM
Organization’s email ALICEMOSELEY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/04
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A51 - Art Museums
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LONNIE FALGOUT
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/23/18

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