FORM 1023-EZ for SEMO CAN-CERVIVE INC

Field Data
EIN 84-3987968
Case Number EO-2019354-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEMO CAN-CERVIVE INC
Organization’s Mailing Address P O BOX 117
City ORAN
State MO
ZIP 63771
Accounting period End 12
Primary contact name JOEY EDELBECK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOEY EDELBECK
PRESIDENT
P O BOX 117
ORAM MO 63771

Officer/Director/Trustee Two

DANNY TETLEY
VICE-PRESIDENT
323 CO HWY 213
CHAFFEE MO 63740

Officer/Director/Trustee Three

RENEE REINAGEL
SECRETARY
P O BOX 92
KELSO MO 63758

Officer/Director/Trustee Four

WILL HUNTER
OFFICER
204 TANNER
SIKESTON MO 63801

Officer/Director/Trustee Five

MARTIN PRIGGEL III
OFFICER
939 ST HWY 268
ORAN MO 63771

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2019
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 JOEY EDELBECK
Signature Title PRESIDENT
Signature Date 12/18/2019

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