FORM 1023-EZ for BATES COUNTY CHILDRENS CHARITIES

Field Data
EIN 82-4087207
Case Number EO-2018024-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BATES COUNTY CHILDRENS CHARITIES
Organization’s Mailing Address 106 N OLIVE
City BUTLER
State MO
ZIP 64730-2141
Accounting period End 12
Primary contact name MICHAEL DAVID PAYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL PAYNE
PRESIDENT
106 N OLIVE
BUTLER MO 64730-2141

Officer/Director/Trustee Two

MARK GOEBEL
TREASURER
7965 NE CO RD 12003
BUTLER MO 64730

Officer/Director/Trustee Three

STEVE DIXON
SECRETARY
1004 WESLEY AVE
RAYMORE MO 64730-9275

Organization’s website
Organization’s email BCCCHARITIES@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth 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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL PAYNE
Signature Title PRESIDENT
Signature Date 1/22/18

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