FORM 1023-EZ for LACLEDE COUNTY COAD

Field Data
EIN 83-1587427
Case Number EO-2018282-000254
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LACLEDE COUNTY COAD
Organization’s Mailing Address PO BX 570
City LEBANON
State MO
ZIP 65536
Accounting period End 12
Primary contact name DAVID MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MILLER
CHAIRMAN OF THE BOARD
619 NORTH MADISON
LEBANON MO 65536

Officer/Director/Trustee Two

DREW MINNICH
CO-CHAIRMAN
14730 HWY 32
LEBANON MO 65536

Officer/Director/Trustee Three

CHARLA BAKER
SECRETARY
PO BX 570
LEBANON MO 65536

Officer/Director/Trustee Four

ROBERT GLADDEN
TREASURE
PO BOX 570
LEBANON MO 65536

Officer/Director/Trustee Five

DEB MCMANN
TRAINING DIRECTOR
207 GREENSBRIAN
LEBANON MO 65536

Organization’s website N/A
Organization’s email DLMILLERLACLEDECOUNTYCOAD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID MILLER
Signature Title CHAIRMAN OF THE BOARD
Signature Date 10/4/18

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