FORM 1023-EZ for TRI COUNTY MEMORIAL HONOR TEAM INC

Field Data
EIN 82-1931375
Case Number EO-2017202-000408
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRI COUNTY MEMORIAL HONOR TEAM INC
Organization’s Mailing Address 308 E SCOTT WAYNE DR
City NIXA
State MO
ZIP 65714
Accounting period End 12
Primary contact name SAM NORMAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM NORMAND
PRESIDENT
308 E SCOTT WAYNE DR
NIXA MO 65714

Officer/Director/Trustee Two

CHARLES IGLOO
SECRETARY TREASURER
3602 N BOBWHITE DR
OZARK MO 65721

Officer/Director/Trustee Three

ROBERT BRADFORD
DIRECTOR
1036 E MENTOR ST
SPRINGFIELD MO 65810

Officer/Director/Trustee Four

BEN HOBBS
DIRECTOR
1024 HARRIS BLVD
OZARK MO 65721

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial 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 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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