FORM 1023-EZ for SURGAMUS SPEECH AND DEBATE CLUB

Field Data
EIN 47-4213219
Case Number EO-2019081-000362
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURGAMUS SPEECH AND DEBATE CLUB
Organization’s Mailing Address 4454 TAHOE CIRCLE DR
City SPRINGDALE
State AR
ZIP 72762
Accounting period End 7
Primary contact name MICHELLE A ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNDA SLONEKER
DIRECTOR & BOARD MEMBER
4454 TAHOE CIRCLE DR
SPRINGDALE AR 72762

Officer/Director/Trustee Two

VANESSA PRIESTNER
TREASURER & BOARD MEMBER
4454 TAHOE CIRCLE DR
SPRINGDALE AR 72762

Officer/Director/Trustee Three

SHELLEY SNEED
SECRETARY & BOARD MEMBER
4454 TAHOE CIRCLE DR
SPRINGDALE AR 72762

Officer/Director/Trustee Four

CYNTHIA MILLER
BOARD MEMBER
4454 TAHOE CIRCLE DR
SPRINGDALE AR 72762

Officer/Director/Trustee Five

SANDY BRUNNER
BOARD MEMBER
4454 TAHOE CIRCLE DR
SPRINGDALE AR 72762

Organization’s website NA
Organization’s email SURGAMUSARKANSAS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/18
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 LYNDA SLONEKER
Signature Title DIRECTOR & BOARD MEMBER
Signature Date 3/19/19

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