FORM 1023-EZ for FRIENDS OF THE MAMMOTH SPRING NATIONAL FISH HATCHERY

Field Data
EIN 38-3871022
Case Number EO-2017139-000307
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF THE MAMMOTH SPRING NATIONAL FISH HATCHERY
Organization’s Mailing Address 302 FISH HATCHERY LANE
City MAMMOTH SPRING
State AR
ZIP 72554
Accounting period End 12
Primary contact name SARA SEAGRAVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRENA SPEARS
PRESIDENT
6223 PLEASANT VALLEY ROAD
MAMMOTH SPRING AR 72554

Officer/Director/Trustee Two

TIM SHANNON
VICE-PRESIDENT
257 EDGEFIELD LANE
SALEM AR 72576

Officer/Director/Trustee Three

BEN WHEELER
SECRETARY
921 OAK STREET
THAYER MO 65791

Officer/Director/Trustee Four

JIM MILLS
TREASURER
PO BOX 406
MAMMOTH SPRING AR 72554

Officer/Director/Trustee Five

KIMBERLY WOOD
DIRECTOR
1755 PLEASANT VALLEY ROAD
MAMMOTH SPRING AR 72554

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2011
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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
Signature Title
Signature Date

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