FORM 1023-EZ for THREE RIVERS FELLOWSHIP

Field Data
EIN 47-4851757
Case Number EO-2015268-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THREE RIVERS FELLOWSHIP
Organization’s Mailing Address 5782 S FARM ROAD 139
City SPRINGFIELD
State MO
ZIP 65810
Accounting period End 12
Primary contact name JR BEUSHAUSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JULIE EELLS
PRESIDENT
5782 S FARM ROAD
SPRINGFIELD MO 65810

Officer/Director/Trustee Two

JOHN EELLS
SEC/TREASURER
5782 S FARM ROAD
SPRINGFIELD MO 65810

Officer/Director/Trustee Three

KIMBERLY BOYCE
BOARD MEMBER
PO BOX 3984
SPRINGFIELD MO 65808

Officer/Director/Trustee Four

MATT STEVENS
BOARD MEMBER
901 S PICKWICK AVENUE
SPRINGFIELD MO 65804

Officer/Director/Trustee Five

JERRY SULLIVAN
BOARD MEMBER
3534 S WELLER AVENUE
SPRINGFIELD MO 65804

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Donation of funds Yes
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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