FORM 1023-EZ for MOUNTAIN HOME CREATIVITY COUNCIL

Field Data
EIN 47-2303575
Case Number EO-2015005-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNTAIN HOME CREATIVITY COUNCIL
Organization’s Mailing Address 522 COUNTY ROAD 546
City MOUNTAIN HOME
State AR
ZIP 72653
Accounting period End 6
Primary contact name SANDRA CONNELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SANDRA CONNELLEY
PRESIDENT
522 COUNTY ROAD 546
MOUNTAIN HOME AR 72653

Officer/Director/Trustee Two

ANNETTE WALDEN
VICE-PRESIDENT
1913 OSAGE LANE
MOUNTAIN HOME AR 72653

Officer/Director/Trustee Three

JON CONNELLEY
DIRECTOR
522 COUNTY ROAD 546
MOUNTAIN HOME AR 72653

Officer/Director/Trustee Four

TANYA YATES
SECRETARY
826 BUFORD ROAD
MOUNTAIN HOME AR 72653

Officer/Director/Trustee Five

STEPHEN YATES
TREASURER
826 BUFORD ROAD
MOUNTAIN HOME AR 72653

Organization’s website MHCREATIVITYCOUNCIL.COM
Organization’s email ADMIN@MHCREATIVITYCOUNCIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2014
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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
Signature Title
Signature Date

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