FORM 1023-EZ for STOUTSBURG SOURLAND AFRICAN AMERICAN MUSEUM

Field Data
EIN 81-2811228
Case Number EO-2016167-000168
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STOUTSBURG SOURLAND AFRICAN AMERICAN MUSEUM
Organization’s Mailing Address 79 COLUMBIA AVE
City HOPEWELL
State NJ
ZIP 08525
Accounting period End 12
Primary contact name JOHN B BUCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN BUCK
INCORPORATOR/DIRECTOR
79 COLUMBIA AVE
HOPEWELL NJ 08525

Officer/Director/Trustee Two

EDWIN LLOYD
DIRECTOR
2 COTTONWOOD DR
PRINCETON NJ 08550

Officer/Director/Trustee Three

CATHERINE FULMER-HOGAN
DIRECTOR
101 INGLESIDE AVE
PENNINGTON NJ 08534

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2016
Organization Incorporation State NJ
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: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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