FORM 1023-EZ for COOK STATION ARTS COLLECTIVE

Field Data
EIN 86-1584485
Case Number EO-2021085-001315
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COOK STATION ARTS COLLECTIVE
Organization’s Mailing Address 41 COOK STATION RD
City COOK STATION
State MO
ZIP 65449
Accounting period End 12
Primary contact name EMERALD PITTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMERALD PITTS
PRESIDENT
41 COOK STATION RD
COOK STATION MO 65449

Officer/Director/Trustee Two

JACOB BEERS
TREASURER
93 MERAMEC TRAILS LN
STEELVILLE MO 65565

Officer/Director/Trustee Three

CLAYTON PHILLIPS
SECRETARY
2420 N SAWYER AVE 1E
CHICAGO MO 60647

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2021
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 JACOB BEERS
Signature Title TREASURER
Signature Date 2/7/2021

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