FORM 1023-EZ for DAVID WALTEMATH MEMORIAL - KING CITY ENDOWMENT FUND

Field Data
EIN 85-3515409
Case Number EO-2020296-000865
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAVID WALTEMATH MEMORIAL - KING CITY ENDOWMENT FUND
Organization’s Mailing Address 4663 STATE HIGHWAY A
City MAYSVILLE
State MO
ZIP 64469
Accounting period End 12
Primary contact name ANDREW PARMENTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW MCCREA
PRESIDENT
4663 STATE HIGHWAY A
MAYSVILLE MO 64469

Officer/Director/Trustee Two

JERRY ARCHER
TREASURER
707 WEST EMPIRE
KING CITY MO 64463

Officer/Director/Trustee Three

STUART SHIFFLETT
VICE PRESIDENT
17765 HWY 48
REA MO 64480

Officer/Director/Trustee Four

DEBBIE SIMERLY
SECRETARY
409 SOUTH 2ND STREET
KING CITY MO 64463

Officer/Director/Trustee Five

EMILY PEARL
DIRECTOR
4822 STATE ROUTE P
REA MO 64489

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 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 ANDREW MCCREA
Signature Title PRESIDENT
Signature Date 10/19/2020

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