FORM 1023-EZ for MELCHER-DALLAS COAL MINING AND HERITAGE MUSEUM

Field Data
EIN 42-1460639
Case Number EO-2015180-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MELCHER-DALLAS COAL MINING AND HERITAGE MUSEUM
Organization’s Mailing Address P O BOX 412
City MELCHER
State IA
ZIP 50163
Accounting period End 12
Primary contact name SANDRA HAUG OR JUDY RIPPERGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SANDRA HAUG
PRESIDENT OF THE BOARD
P O BOX 412
MELCHER-DALLAS IA 50163

Officer/Director/Trustee Two

JUDY RIPPERGER
SECRETARY-TREASURER
215 SW MAIN ST
MELCHER-DALLAS IA 50062

Officer/Director/Trustee Three

JERRY HASELHUHN
GENERAL BOARD MEMBER
1924 42ND PLACE
MELCHER-DALLAS IA 50062

Officer/Director/Trustee Four

MIKE DAMON
MAINTENANCE/GENERAL BOARD
2110 80TH AVE
KOXVILLE IA 50138

Officer/Director/Trustee Five

MARK HEROLD
CITY LIASON/GENERAL BOARD
603 D MAIN EAST
MELCHER-DALLAS IA 50062

Organization’s website
Organization’s email C/O MCRJUDY@IOWATELECOM.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/1996
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A54 - History Museums
Organization’s purpose Charitable: No
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 Yes
One Third Support Gifts No
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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