FORM 1023-EZ for CCHS PROJECT GRADUATION

Field Data
EIN 87-1393943
Case Number EO-2021264-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CCHS PROJECT GRADUATION
Organization’s Mailing Address 1650 CAVALIER DR
City JEFFERSON CITY
State MO
ZIP 65109
Accounting period End 12
Primary contact name SHANNA SCHWARZER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANA SCHUEMANN
OFFICER
713 BELMONT DRIVE
JEFFERSON CITY MO 65109

Officer/Director/Trustee Two

KIMBERLY STIEFERMAN
OFFICER
4060 SCARBOROUGH WAY
JEFFERSON CITY MO 65109

Officer/Director/Trustee Three

SHANNA SCHWARZER
OFFICER
1650 CAVALIER DRIVE
JEFFERSON CITY MO 65109

Officer/Director/Trustee Four

GAYLIN CARVER
OFFICER
430 CRYSTAL VIEW TERRACE
JEFFERSON CITY MO 65109

Organization’s website
Organization’s email GAYLIN@CARVERMICHAEL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2021
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 GAYLIN CARVER
Signature Title OFFICER
Signature Date 7/12/2021

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