FORM 1023-EZ for MENA POLK COUNTY ENHANCEMENT FOUNDATION INC

Field Data
EIN 83-2583246
Case Number EO-2018332-000093
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENA POLK COUNTY ENHANCEMENT FOUNDATION INC
Organization’s Mailing Address 524 SHERWOOD AVE
City MENA
State AR
ZIP 71953
Accounting period End 12
Primary contact name ASHLEY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATT THOMAS
PRESIDENT
1311 HWY 71 N
MENA AR 71953

Officer/Director/Trustee Two

GREG GOSS
VICE PRESIDENT
600 HWY 71
MENA AR 71953

Officer/Director/Trustee Three

JIMMA HOLDER
TREASURER
501 HICKORY AVE
MENA AR 71953

Officer/Director/Trustee Four

PILAR FOWLER
SECRETARY
148 WOLF LN
MENA AR 71953

Officer/Director/Trustee Five

LAUREN FROST
DIRECTOR
182 DEER RUN LN
MENA AR 71953

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/18
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
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 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 MATT THOMAS
Signature Title PRESIDENT
Signature Date 11/26/18

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