FORM 1023-EZ for MUDDY RIVER FOOLS

Field Data
EIN 27-3853168
Case Number EO-2019038-001052
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUDDY RIVER FOOLS
Organization’s Mailing Address 7338 LITTLE OAKS DR
City O FALLON
State MO
ZIP 63368
Accounting period End 12
Primary contact name DAVID DUBOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID DUBOWSKI
PRESIDENT
7338 LITTLE OAKS DR
O FALLON MO 63368

Officer/Director/Trustee Two

BRETT KEHOE
VICE PRESIDENT
509 BROOKNEEL
ST CHARLES MO 63304

Officer/Director/Trustee Three

TOMMY DAVIDSON
TREASURER
1704 S ROGERS
ALTON IL 62002

Officer/Director/Trustee Four

STEPHEN VOTAW
TRUSTEE
4021 APPLE VALLEY DR
ARNOLD MO 63010

Organization’s website WWW.MUDDYRIVERFOOLS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/10
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 DAVID DUBOWSKI
Signature Title PRESIDENT
Signature Date 1/26/19

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