FORM 1023-EZ for PEEPLES VALLEY - YARNELL HISTORICALSOCIETY

Field Data
EIN 86-0755005
Case Number EO-2017321-000331
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEEPLES VALLEY - YARNELL HISTORICALSOCIETY
Organization’s Mailing Address 18205 SOUTH HIGHWAY 89
City PEEPLES VALLEY
State AZ
ZIP 86332
Accounting period End 10
Primary contact name MAE PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY PARKER
PRESIDENT
17345 W SORRELLS RANCH ROAD
PEEPLES VALLEY AZ 86332

Officer/Director/Trustee Two

MAE PARKER
TREASURER
17345 W SORRELLS RANCH ROAD
PEEPLES VALLEY AZ 86332

Officer/Director/Trustee Three

CLARK ASHBY
VICE- PRESIDENT
PO BOX 223
SKULL VALLEY AZ 86338

Officer/Director/Trustee Four

LINDA HUSSEN
SECRETARY
PO BOX 69
KIRKLAND AZ 86332

Officer/Director/Trustee Five

BOB HUSSEN
DIRECTOR
PO BOX 69
KIRKLAND AZ 86332

Organization’s website
Organization’s email HISTORICALPEEPLESVALLEYYARNELL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2002
Organization Incorporation State AZ
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: 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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