FORM 1023-EZ for MIDDLE OF THE ROAD DROP-IN SHELTER& RECOVERY CENTER

Field Data
EIN 83-2443933
Case Number EO-2018341-000309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDDLE OF THE ROAD DROP-IN SHELTER& RECOVERY CENTER
Organization’s Mailing Address 1109 S 3RD AVE
City OZARK
State MO
ZIP 65721
Accounting period End 6
Primary contact name ERICA WOOLMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONALD DUNCAN
PRESIDENT
1109 S 3RD AVE
OZARK MO 65721

Officer/Director/Trustee Two

ERICA WOOLMAN
TREASURER
1109 S 3RD AVW
OZARK MO 65721

Officer/Director/Trustee Three

DANA JOHNSTON
VICE PRESIDENT
402 N 37TH ST
OZARK MO 65714

Officer/Director/Trustee Four

KATHY VANDERPOOL
OFFICER
1237 SOUTH NEW AVE
SPRINGFIELD MO 65807

Officer/Director/Trustee Five

MELISSA BERTALOTT
SECRETARY
PO BOX 1784
OZARK MO 65721

Organization’s website
Organization’s email E.WOOLMAN@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 RONALD DUNCAN
Signature Title PRESIDENT
Signature Date 12/5/18
EIN 83-2443933
Case Number EO-2018341-000309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDDLE OF THE ROAD DROP-IN SHELTER & RECOVERY CENTER
Organization’s Mailing Address 1109 S 3RD AVE
City OZARK
State MO
ZIP 65721
Accounting period End 6
Primary contact name ERICA WOOLMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONALD DUNCAN
PRESIDENT
1109 S 3RD AVE
OZARK MO 65721

Officer/Director/Trustee Two

ERICA WOOLMAN
TREASURER
1109 S 3RD AVW
OZARK MO 65721

Officer/Director/Trustee Three

DANA JOHNSTON
VICE PRESIDENT
402 N 37TH ST
OZARK MO 65714

Officer/Director/Trustee Four

KATHY VANDERPOOL
OFFICER
1237 SOUTH NEW AVE
SPRINGFIELD MO 65807

Officer/Director/Trustee Five

MELISSA BERTALOTT
SECRETARY
PO BOX 1784
OZARK MO 65721

Organization’s website
Organization’s email E.WOOLMAN@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 RONALD DUNCAN
Signature Title PRESIDENT
Signature Date 12/5/18

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