FORM 1023-EZ for SERGEANT AUDIE MURPHY CLUB OZARK REGION

Field Data
EIN 20-3341924
Case Number EO-2017048-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERGEANT AUDIE MURPHY CLUB OZARK REGION
Organization’s Mailing Address PO BOX 22
City FORT LEONARD WOOD
State MO
ZIP 65473-0022
Accounting period End 12
Primary contact name SHANE PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANE PARKER
PRESIDENT
PO BOX 22
FORT LEONARD WOOD MO 65473-0022

Officer/Director/Trustee Two

DAVID BARRERA
VICE PRESIDENT
PO BOX 22
FORT LEONARD WOOD MO 65473-0022

Officer/Director/Trustee Three

BENOIT FREGISTE
SECRETARY
PO BOX 22
FORT LEONARD WOOD MO 65473-0022

Officer/Director/Trustee Four

SALVADOR INEZ
TREASURER
PO BOX 22
FORT LEONARD WOOD MO 65473-0022

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2005
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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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