FORM 1023-EZ for CAMPTONVILLE HISTORICAL SOCIETY

Field Data
EIN 20-5119097
Case Number EO-2015212-000586
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMPTONVILLE HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 153
City CAMPTONVILLE
State CA
ZIP 95922
Accounting period End 6
Primary contact name RODNEY BONDURANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RODNEY BONDURANT
CFO
14981 YEARLING LANE
CAMPTONVILLE CA 95922

Officer/Director/Trustee Two

STEPHANIE KORNEY
CEO
15049 SIOUX TRAIL
CAMPTONVILLE CA 95922

Officer/Director/Trustee Three

ROCHELLE BELL
SECRETARY
14981 YEARLING LN
CAMPTONVILLE CA 95922

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2006
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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