FORM 1023-EZ for CRYSTAL HISTORICAL SOCIETY

Field Data
EIN 30-1127937
Case Number EO-2018334-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CRYSTAL HISTORICAL SOCIETY
Organization’s Mailing Address 4800 DOUGLAS DRIVE NORTH
City CRYSTAL
State MN
ZIP 55429-3553
Accounting period End 12
Primary contact name DAVID ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THERESE KISER
PRESIDENT
4800 DOUGLAS DRIVE NORTH
CRYSTAL MN 55429-3553

Officer/Director/Trustee Two

JAMES EINFELDT-BROWN
VICE PRESIDENT
4800 DOUGLAS DRIVE NORTH
CRYSTAL MN 55429-3553

Officer/Director/Trustee Three

STEVEN ADAMS
SECRETARY
4800 DOUGLAS DRIVE NORTH
CRYSTAL MN 55429-3553

Officer/Director/Trustee Four

BOB ESNOUGH
TREASURER
4800 DOUGLAS DRIVE NORTH
CRYSTAL MN 55429-3553

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/18
Organization Incorporation State MN
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: 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 THERESE KISER
Signature Title PRESIDENT
Signature Date 11/28/18

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