FORM 1023-EZ for CHARLIE 22 OUTDOORS

Field Data
EIN 82-3426960
Case Number EO-2017328-000406
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHARLIE 22 OUTDOORS
Organization’s Mailing Address 1520 GOLD DUST DR
City WEBB CITY
State MO
ZIP 64870
Accounting period End 12
Primary contact name SCOTTY HETTINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTTY HETTINGER
PRESIDENT
1520 GOLD DUST DR
WEBB CITY MO 64870

Officer/Director/Trustee Two

AJ STOCK
TREASURER
701 DEREK CT
ORONOGO MO 64855

Officer/Director/Trustee Three

CURTIS KING
VICE PRESIDENT
1 ANDERSON PL
WEBB CITY MO 64870

Officer/Director/Trustee Four

RUSSELL WICKLUND
SECRETARY
1757 COUNTY LANE 103
CARTHAGE MO 64836

Officer/Director/Trustee Five

JD WHITLEDGE
DIRECTOR
5492 CEDAR LANE
REEDS MO 64859

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
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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