FORM 1023-EZ for SOUTHWEST CITY SENIOR CENTER

Field Data
EIN 43-1678788
Case Number EO-2020022-000377
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHWEST CITY SENIOR CENTER
Organization’s Mailing Address 103 SCHOOL STREET
City SOUTHWEST CITY
State TN
ZIP 64863
Accounting period End 12
Primary contact name MELISSA LANCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN REICHARDT
PRESIDENT
15884 NORTH HIGHWAY 43
SIUTHWEST CITY MO 64863

Officer/Director/Trustee Two

MARK KAUILBOURN
VICE PRESIDENT
100 OLIN STREET
PINEVILLE MO 64856

Officer/Director/Trustee Three

JUDY PENDERGRAFT
SECRETARY
313 RIDGE STREET
SOUTHWEST CITY OH 64763

Organization’s website
Organization’s email SWCSENIORCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2019
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBIN REICHARDT
Signature Title PRESIDENT
Signature Date 1/20/2020

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