FORM 1023-EZ for ANNIE MALONE HISTORICAL SOCIETY

Field Data
EIN 37-1712642
Case Number EO-2014345-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANNIE MALONE HISTORICAL SOCIETY
Organization’s Mailing Address 4414 COLONIAL AVE
City NORTHWOODS
State MO
ZIP 63121-2705
Accounting period End 12
Primary contact name LINDA M NANCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDA NANCE
OFFICER/PRESIDENT
4414 COLONIAL AVE
NORTHWOODS MO 63121-2705

Officer/Director/Trustee Two

LINDA JONES
OFFICER/VICE-PRESIDENT
1734 HENDRICKS STREET
GARY IN 46404

Officer/Director/Trustee Three

JEAN WILLIAMS
OFFICER/TREASURER
8314 E 91ST STREET
KANSAS CITY MO 64138-4347

Officer/Director/Trustee Four

T MONNETTE LARTEY
OFFICER/SECRETARY
8314 E 91ST STREET
KANSAS CITY MO 64138-4347

Officer/Director/Trustee Five

RICHARD KING
DIRECTOR/BOARD MEMBER
1600 EDMAR LANE
ST LOUIS MO 63138-1711

Organization’s website ANNIEMALONEHISTOIRCALSOCIETY.ORG
Organization’s email ANNIEMALONEHISTORY@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2013
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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