FORM 1023-EZ for BERWYN HISTORICAL SOCIETY

Field Data
EIN 36-3048026
Case Number EO-2018025-000211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BERWYN HISTORICAL SOCIETY
Organization’s Mailing Address 1401 GROVE AVE PO BOX 479
City BERWYN
State IL
ZIP 60402
Accounting period End 12
Primary contact name DAVID OLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID OLSON
PRESIDENT
2422 GUNDERSON AVE
BERWYN IL 60402

Officer/Director/Trustee Two

BRIAN DILLON
VICE PRESIDENT
1916 KENILWORTH AVE
BERWYN IL 60402

Officer/Director/Trustee Three

LISA WAHNEFRIED
SECRETARY
1228 WENONAH AVE
BERWYN IL 60402

Officer/Director/Trustee Four

ANA RIOS
TREASURER
3628 WESLEY AVE
BERWYN IL 60402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/79
Organization Incorporation State IL
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: Yes
Religious: No
Educational: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID OLSON
Signature Title PRESIDENT
Signature Date 1/23/18

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