FORM 1023-EZ for HISTORIC GREENVILLE MUSEUM COMMUNITY CENTER

Field Data
EIN 81-1985288
Case Number EO-2016216-000079
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HISTORIC GREENVILLE MUSEUM COMMUNITY CENTER
Organization’s Mailing Address 145 OAK STREET PO BOX 513
City GREENVILLE
State MO
ZIP 63944
Accounting period End 12
Primary contact name SUSAN DEE ELAYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DON SCOWDEN
PRESIDENT
148 RIDGE ROAD
GREENVILLE MO 63944

Officer/Director/Trustee Two

SHIRLEY HAGGETT
TREASURER
1 HAGGETT LANE PO BOX 224
SILVA MO 63964

Officer/Director/Trustee Three

JOHN HAGGETT
VICE PRESIDENT
1 HAGGETT LANE PO BOX 224
SILVA MO 63964

Officer/Director/Trustee Four

SUSAN ELAYER
OFFICER
RT 1 BOX 16050
PATTERSON MO 63956

Officer/Director/Trustee Five

CONNIE DILDINE
DIRECTOR
HC 2 BOX 5180
HIRAM MO 63944

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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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