FORM 1023-EZ for COUNTY BLUE CREW ASSOCIATION

Field Data
EIN 81-1771491
Case Number EO-2017320-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COUNTY BLUE CREW ASSOCIATION
Organization’s Mailing Address 101 E BOONESLICK ROAD
City JONESBURG
State MO
ZIP 63351
Accounting period End 12
Primary contact name JOHN T SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CINDY SHAW
PRESIDENT
135 OLD BISHOP ROAD
JONESBURG MO 63351

Officer/Director/Trustee Two

KIM WRIGHT
SECRETARY
5 MT EVEREST CT
OFALLON MO 63368

Officer/Director/Trustee Three

KELLY FLAKE
VICE PRESIDENT
46 HIGHWAY E
JONESBURG MO 63351

Officer/Director/Trustee Four

JAMIE GALARZA
TREASURER
500 AMY DRIVE
MONTGOMERY CITY MO 63361

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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