FORM 1023-EZ for TRI-COUNTY FAIR INC

Field Data
EIN 71-0879826
Case Number EO-2015063-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRI-COUNTY FAIR INC
Organization’s Mailing Address 6600 SHEP DAIRY LANE
City CABOOL
State MO
ZIP 65689
Accounting period End 1
Primary contact name BARB SHEPPARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACOB PETERSON
PRESIDENT
RT 2 BOX 236
MOUNTAIN GROVE MO 65711

Officer/Director/Trustee Two

TRENA HARKER
VICE PRESIDENT
12402 VALLEY VIEW ROAD
MOUNTAIN GROVE MO 65711

Officer/Director/Trustee Three

MICHELLE EILENSTINE
SECRETARY
840 HIGHWAY AD
MOUNTAIN GROVE MO 65711

Officer/Director/Trustee Four

BARBARA SHEPPARD
TREASURER
6600 SHEP DAIRY LANE
CABOOL MO 65689

Organization’s website WWW.MYTRICOUNTYFAIR.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2002
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O52 - Youth Development - Agricultural
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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