FORM 1023-EZ for DALTON VOCATIONAL HIGH SCHOOL FOUNDATION

Field Data
EIN 83-1640132
Case Number EO-2019322-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DALTON VOCATIONAL HIGH SCHOOL FOUNDATION
Organization’s Mailing Address 1195 COUNTY ROAD 2345
City MOBERLY
State MO
ZIP 65270-4342
Accounting period End 12
Primary contact name REX BUHRMESTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM WILSON
PRESIDENT
1195 COUNTY ROAD 2345
MOBERLY MO 65270-4342

Officer/Director/Trustee Two

LOWELL NEWSOM
SECRETARY
305 E 5TH ST
SALISBURY MO 65281

Officer/Director/Trustee Three

LARRY POLLARD
VICE-PRESIDENT/TREASURER
22877 GERMAN RD
MENDON MO 64660

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 SAM WILSON
Signature Title PRESIDENT
Signature Date 11/14/19

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