FORM 1023-EZ for LEESBURG AREA HISTORICAL SOCIETY

Field Data
EIN 83-1915040
Case Number EO-2019157-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEESBURG AREA HISTORICAL SOCIETY
Organization’s Mailing Address 45 S FAIRFIELD STREET
City LEESBURG
State OH
ZIP 45135
Accounting period End 1
Primary contact name MORGAN SHEPPARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEN WORLEY
PRESIDENT
45 S FAIRFIELD ST
LEESBURG OH 45135

Officer/Director/Trustee Two

CURT SHANKS
VICE PRESIDENT
45 S FAIRFIELD ST
LEESBURG OH 45135

Officer/Director/Trustee Three

ALICE TEETERS
SECRETARY
45 S FAIRFIELD ST
LEESBURG OH 45135

Officer/Director/Trustee Four

NICOLE FRIEND
GENERAL
45 S FAIRFIELD ST
LEESBURG OH 45135

Officer/Director/Trustee Five

MORGAN SHEPPARD
TREASURE
201 NORTH HIGH ST
LEESBURG OH 45135

Organization’s website
Organization’s email SHEPPARDMORGAN@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/18
Organization Incorporation State OH
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: 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 MORGAN SHEPPARD
Signature Title TREASURE
Signature Date 6/4/19

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