FORM 1023-EZ for MID MISSOURI MAVERICKS CORP

Field Data
EIN 81-4650215
Case Number EO-2017228-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MID MISSOURI MAVERICKS CORP
Organization’s Mailing Address 1508 TIMBER CREEK DR
City COLUMBIA
State MO
ZIP 65202
Accounting period End 12
Primary contact name MICHELLE HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MACY WALQUIST
PRESIDENT
1508 TIMBER CREEK DR
COLUMBIA MO 65202

Officer/Director/Trustee Two

MICHELLE HALL
TREASURER
1850 E TRAILS END ROAD
STURGEON MO 65284

Officer/Director/Trustee Three

KELLY WILOUER
ATHLETIC DIRECTOR/BOARD MEMBER
212 SUMMERTREE PLACE
HOLTS SUMMIT MO 65043

Officer/Director/Trustee Four

DEBRA MINER
SECRETARY
6 E ALHAMBRA DR
COLUMBIA MO 65203

Officer/Director/Trustee Five

JOHN HALL
BOARD MEMBER
1850 E TRAILS END ROAD
STURGEON MO 65284

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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