FORM 1023-EZ for PURDY PUBLIC SAFETY ASSOCIATION

Field Data
EIN 84-2796671
Case Number EO-2019235-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PURDY PUBLIC SAFETY ASSOCIATION
Organization’s Mailing Address 8850 FARM ROAD 1100
City PURDY
State MO
ZIP 65734
Accounting period End 12
Primary contact name NICHOLAS MERCER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS MERCER
PRESIDENT
8850
PURDY MO 65734

Officer/Director/Trustee Two

TIFFANY MERCER
TREASURER
8850 FARM ROAD 1100
PURDY MO 65734

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 NICHOLAS MERCER
Signature Title PRESIDENT
Signature Date 8/21/19

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