FORM 1023-EZ for PREGNANCY RESOURCE CENTER OF SOUTHCENTRAL MISSOURI

Field Data
EIN 81-0828783
Case Number EO-2015355-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PREGNANCY RESOURCE CENTER OF SOUTHCENTRAL MISSOURI
Organization’s Mailing Address 107 E PINE ST
City HOUSTON
State MO
ZIP 65483
Accounting period End 12
Primary contact name DEBRA STOCKARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEORGE HOOKER
PRESIDENT
13645 CR 6260
EDGAR SPRINGS MO 65462

Officer/Director/Trustee Two

JAMIE ALTMAN
VICE-PRESIDENT
101 HICKORY ST
HOUSTON MO 65483

Officer/Director/Trustee Three

DARA JACKSON
RECORDING SECRETARY
12516 HWY FF
BUCYRUS MO 65444

Officer/Director/Trustee Four

HAROLD BRUENING
TREASURER
8037 INDIANA RD
HOUSTON MO 65483

Officer/Director/Trustee Five

DEBRA STOCKARD
EXECUTIVE DIRECTOR
1406 CHEROKEE CIRCLE
HOUSTON MO 65483

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F40 - Hot Line, Crisis Intervention Services
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 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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