FORM 1023-EZ for CROCKER COMMUNITY PARK BOARD

Field Data
EIN 84-2375081
Case Number EO-2019298-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROCKER COMMUNITY PARK BOARD
Organization’s Mailing Address 315 KEETH ROAD
City CROCKER
State MO
ZIP 65452-8220
Accounting period End 12
Primary contact name SARAH RANSOME
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH RANSOME
PRESIDENT
315 KEETH ROAD
CROCKER MO 65452-8220

Officer/Director/Trustee Two

AMY FANCHER
TREASURER
20995 BLACKBERRY ROAD
CROCKER MO 65452-7209

Officer/Director/Trustee Three

JACKIE SCHOLFIED
SECRETARY
112 PARK PLACE
CROCKER MO 65452-9193

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2019
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SARAH RANSOME
Signature Title PRESIDENT
Signature Date 10/23/2019

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