FORM 1023-EZ for MISSOURI DISABLED VETERANS OUTDOORSINC

Field Data
EIN 37-1877208
Case Number EO-2018039-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSOURI DISABLED VETERANS OUTDOORSINC
Organization’s Mailing Address 1222 ELMERINE AVE
City JEFFERSON CITY
State MO
ZIP 65101
Accounting period End 12
Primary contact name SHANE KAMPETER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANE KAMPETER
PRESIDENT
1222 ELMERINE AVE
JEFFERSON CITY MO 65101

Officer/Director/Trustee Two

NATHAN KEMPKER
VICE PRESIDENT
5606 SOUTH TEAL BOTTOM ROAD
HENLEY MO 65040

Officer/Director/Trustee Three

MIRANDA BRANDT
TREASURER
102 NORTH 5TH STREET
LINN MO 65051

Officer/Director/Trustee Four

REGINA MEYER
SECRETARY
205 MILLPOND LANE
JEFFERSON CTIY MO 65109

Officer/Director/Trustee Five

CHRISTOPHER SCHEPPERS
BOARD MEMBER
7618 HUNTERS LANE
WARDSVILLE MO 65101

Organization’s website
Organization’s email MODISABLEDVETSOUTDOORS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHANE KAMPETER
Signature Title PRESIDENT
Signature Date 2/6/18

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