FORM 1023-EZ for BOLLINGER COUNTY SHERIFF DEPARTMENTAUXILIARY

Field Data
EIN 46-4809664
Case Number EO-2014262-000377
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOLLINGER COUNTY SHERIFF DEPARTMENTAUXILIARY
Organization’s Mailing Address PO BOX 272
City MARBLE HILL
State MO
ZIP 63764
Accounting period End 12
Primary contact name THERESA HENSON OR DONNA BULLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONNA BULLARD
PRESIDENT
PO BOX 272
MARBLE HILL MO 63764

Officer/Director/Trustee Two

KAYLEE BECKER
TREASURER
PO BOX 272
MARBLE HILL MO 63764

Officer/Director/Trustee Three

THERESA HENSON
VICE PRESIDENT
PO BOX 272
MARBLE HILL MO 63764

Officer/Director/Trustee Four

LINDSAY PETTON
SECRETARY
PO BOX 272
MARBLE HILL MO 63764

Officer/Director/Trustee Five

SHARON FORRESTER
VOTING MEMBER
PO BOX 272
MARBLE HILL MO 63764

Organization’s website
Organization’s email BCSOAUXILIARY@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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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