FORM 1023-EZ for RCAT REPUBLIC COMMUNITY ACTION TEAM

Field Data
EIN 84-2108304
Case Number EO-2019170-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RCAT REPUBLIC COMMUNITY ACTION TEAM
Organization’s Mailing Address 1998 TERRELL VALLEY DR
City REPUBLIC
State MO
ZIP 65738
Accounting period End 12
Primary contact name ANNELISA BUCHANAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNE BUCHANAN
PRESIDENT
1998 TERRELL VALLEY DR
REPUBLIC MO 65738

Officer/Director/Trustee Two

TADD BUCHANAN
SECRETARY
1998 TERRELL VALLEY DR
REPUBLIC MO 65738

Officer/Director/Trustee Three

JON AND VALERIE DAVIS
BOARD MEMBER
625 TERRELL VALLEY DR
REPUBLIC MO 65738

Officer/Director/Trustee Four

ANDREA BANWART
BOARD MEMBER
1465 S APPOMATTOX AVE
REPUBLIC MO 65738

Officer/Director/Trustee Five

HEATHER REPLOGLE
BOARD MEMBER
702 TERRELL VALLEY DR
REPUBLIC MO 65738

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANNE BUCHANAN
Signature Title PRESIDENT
Signature Date 6/17/19

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