FORM 1023-EZ for SEVIER COUNTY 4-H CLUB FOUNDATION INC

Field Data
EIN 71-0853981
Case Number EO-2018016-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEVIER COUNTY 4-H CLUB FOUNDATION INC
Organization’s Mailing Address 1690 HWY 70 WEST
City DE QUEEN
State AR
ZIP 71832
Accounting period End 12
Primary contact name JENNIFER MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER MARTIN
PRESIDENT
1690 HWY 70 WEST
DE QUEEN AR 71832

Officer/Director/Trustee Two

HARREL SHERWOOD
VP
115 KIOWA TRAIL ROAD
DE QUEEN AR 71832

Officer/Director/Trustee Three

JESSICA SWAN
SECRETARY
401 THOMPSON STREET
HORATIO AR 71842

Officer/Director/Trustee Four

STEPHANIE HAARMEYER
TREASURER
340 AVON ROAD
DE QUEEN AR 71832

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/10
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 JENNIFER MARTIN
Signature Title PRESIDENT
Signature Date 1/11/18

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