FORM 1023-EZ for THE AMERICARE USA EMPLOYEE BENEVOLENCE TRUST

Field Data
EIN 81-6778316
Case Number EO-2019329-000507
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE AMERICARE USA EMPLOYEE BENEVOLENCE TRUST
Organization’s Mailing Address 214 NORTH SCOTT STREET
City SIKESTON
State MO
ZIP 63801
Accounting period End 12
Primary contact name JIM REIKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM REIKER
TRUSTEE
214 NORTH SCOTT STREET
SIKESTON MO 63801

Officer/Director/Trustee Two

CLAY CROSSON
TRUSTEE
214 NORTH SCOTT STREET
SIKESTON MO 63801

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/16
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T90 - Named Trusts/Foundations N.E.C.
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JIM REIKER
Signature Title TRUSTEE
Signature Date 11/22/19

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