FORM 1023-EZ for RC-HATS

Field Data
EIN 47-1620396
Case Number EO-2014233-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RC-HATS
Organization’s Mailing Address 800 N MAIN STREET
City DERMOTT
State AR
ZIP 71638
Accounting period End 12
Primary contact name REATHER CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REATHER CLARK
CHIEF EXECUTIVE OFFICER
800 N MAIN STREET
DERMOTT AR 71638

Officer/Director/Trustee Two

PAT FREEMAN
TREASURER
601 S TROTTER
DERMOTT AR 71638

Officer/Director/Trustee Three

KELLIE WASHINGTON
CHAIRPERSON
208 W ASH ST APT 17
DERMOTT AR 71638

Organization’s website
Organization’s email RATHERCLARK@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2014
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
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 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
Signature Title
Signature Date

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