FORM 1023-EZ for EAST FORK ARCHERY SHOOTING CLUB

Field Data
EIN 82-1515114
Case Number EO-2017268-000386
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EAST FORK ARCHERY SHOOTING CLUB
Organization’s Mailing Address 1375 COUNTY ROAD 1255
City HUNTSVILLE
State MO
ZIP 65259
Accounting period End 12
Primary contact name MADGEL MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHERINE MCLEAN
PRESIDENT
1401 COUNTY ROAD 1255
HUNTSVILLE MO 65259

Officer/Director/Trustee Two

MELISSA BOOTS
VICE PRESIDENT
1312 COUNTY ROAD 2752
MOBERLY MO 65270

Officer/Director/Trustee Three

MARIE TAYLOR
SECRETARY/TREASURER
9214 HWY J
JACKSONVILLE MO 65260

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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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