FORM 1023-EZ for CHRISTIAN COUNTY COALITION ON SUBSTANCE MISUSE
| Field | Data |
|---|---|
| EIN | 84-3360691 |
| Case Number | EO-2019290-000318 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHRISTIAN COUNTY COALITION ON SUBSTANCE MISUSE |
| Organization’s Mailing Address | 4149 N 3RD STREET |
| City | OZARK |
| State | MO |
| ZIP | 65721 |
| Accounting period End | 12 |
| Primary contact name | TERESA WICKIZER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LYNN MORRIS
PRESIDENT
4230 GREENBRIAR DR
NIXA MO 65714
Officer/Director/Trustee Two
JOHN WALKER
VICE-PRESIDENT
2865 OLD PROSPECT RD
OZARK MO 65721
Officer/Director/Trustee Three
TERESA WICKIZER
TREASURER
4149 N 3RD STREET
OZARK MO 65721
Officer/Director/Trustee Four
AMELIA GODFREY
SECRETARY
1415 W FROSTY DR APT 3
OZARK MO 65721
| Organization’s website | N/A |
|---|---|
| Organization’s email | M_WICKIZER@MSN.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/7/19 |
| Organization Incorporation State | MO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F21 - Alcohol, Drug Abuse, Prevention Only |
| 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 | 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 | TERESA WICKIZER |
| Signature Title | TREASURER |
| Signature Date | 10/15/19 |
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