FORM 1023-EZ for GO 61 INC

Field Data
EIN 46-4692005
Case Number EO-2014363-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GO 61 INC
Organization’s Mailing Address 1655 SOUTH INGRAM MILL RD K203
City SPRINGFIELD
State MO
ZIP 65804
Accounting period End 12
Primary contact name CASEY ALVAREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CASEY ALVAREZ
DIRECTOR
1655 SOUTH INGRAM MILL ROAD K203
SPRINGFIELD MO 65804

Officer/Director/Trustee Two

LUIS ALVAREZ
VICE PRESIDENT
1655 SOUTH INGRAM MILL ROAD K203
SPRINGFIELD MO 65804

Officer/Director/Trustee Three

JEFF RENS
PRESIDENT
520 SOUTH HICKORY DRIVE
SPRINGFIELD MO 65809

Officer/Director/Trustee Four

SETH SHELTON
BOARD MEMBER
4652 WEST MEADOW LARK
BATTLEFIELD MO 65619

Officer/Director/Trustee Five

ALICE WEIMER
ASSISTANT DIRECTOR
2021 EAST NORSHIRE
SPRINGFIELD MO 65804

Organization’s website HTTP://GO61.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
One Third Support Gifts No
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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