FORM 1023-EZ for BLAIRSTOWN MUSEUM INC

Field Data
EIN 81-3871357
Case Number EO-2017198-000316
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLAIRSTOWN MUSEUM INC
Organization’s Mailing Address 26 MAIN STREET PO BOX 109
City BLAIRSTOWN
State NJ
ZIP 07825
Accounting period End 12
Primary contact name CHARLES J BRAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANETTE IURATO
TRUSTEE
2 HELLER HILL ROAD
BLAIRSTOWN NJ 07825

Officer/Director/Trustee Two

ANTHONY IURATO
TRUSTEE
2 HELLER HILL ROAD
BLAIRSTOWN NJ 07825

Officer/Director/Trustee Three

MIRANDA IURATO
TRUSTEE
110 CLIFTON COURT APT 307
PONTE VEDRA BEACH FL 32082

Organization’s website BLAIRSTOWNMUSEUM.COM
Organization’s email INFO@BLAIRSTOWNMUSEUM.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2016
Organization Incorporation State NJ
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: Yes
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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