FORM 1023-EZ for 81200 WEST CENTRAL USBC

Field Data
EIN 20-4921699
Case Number EO-2017277-000224
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 81200 WEST CENTRAL USBC
Organization’s Mailing Address 19 NW 730TH RD
City WARRENSBURG
State MO
ZIP 64093-7760
Accounting period End 12
Primary contact name ANTOINETTE WEAVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES FORREST
PRESIDENT
1100 NE 925 RD
KNOB NOSTER MO 65336

Officer/Director/Trustee Two

DORIS VOLLMER
1ST VICE PRESIDENT
406 E MARKET
WARRENBURG MO 64093

Officer/Director/Trustee Three

CYNTHIA FORREST
2ND VICE PRESIDENT
1100 NE 925 RD
KNOB NOSTER MO 64093

Officer/Director/Trustee Four

ANTOINETTE WEAVER
ASSOCIATION MANAGER
19 NW 730TH RD
WARRENSBURG MO 64093

Officer/Director/Trustee Five

JERRY GRAHAM
BOARD MEMBER
19889 ROCKY BRANCH RD
HIGGINSVILLE MO 64037

Organization’s website WWW.WCMUSBCA.COM
Organization’s email WESTCENTRALUSBC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2006
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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