FORM 1023-EZ for MOON CITY POULTRY CLUB

Field Data
EIN 81-4828901
Case Number EO-2019035-000954
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOON CITY POULTRY CLUB
Organization’s Mailing Address 14492 KOHLER LANE
City WAPAKONETA
State OH
ZIP 45895
Accounting period End 12
Primary contact name STEPHANIE SCHMEHL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEISHA COMER
PRESIDENT
14499 KETTLERSVILLE RD
WAPAKONETA OH 45895-9526

Officer/Director/Trustee Two

STEPHANIE SCHMEHL
VICE PRESIDENT
14492 KOHLER LN
WAPAKONETA OH 45895

Organization’s website
Organization’s email MOONCITYPOULTRYCLUB@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
Organization’s purpose Charitable: No
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 STEPHANIE SCHMEHL
Signature Title VICE PRESIDENT
Signature Date 1/15/19

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