FORM 1023-EZ for TEBBETTS COMMUNITY CLUB
| Field | Data |
|---|---|
| EIN | 81-2735020 |
| Case Number | EO-2017128-000118 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | TEBBETTS COMMUNITY CLUB |
| Organization’s Mailing Address | 5544 STATE HWY 94 |
| City | TEBBETTS |
| State | MO |
| ZIP | 65080-1626 |
| Accounting period End | 2 |
| Primary contact name | GARY HEIMERICKS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
GARY HEIMERICKS
PRESIDENT
5245 STATE HWY 94
TEBBETTS MO 65080-1626
Officer/Director/Trustee Two
SCOTT THIERET
TREASURER
TEBBETTS RIDGE DRIVE
TEBBETTS MO 65080-1626
Officer/Director/Trustee Three
CHRIS MELOY
SECRETARY
11234 ANIMAL RIDGE
TEBBETTS MO 65080-1626
Officer/Director/Trustee Four
DEBBIE POPP
TRUSTEE
4915 STATE HWY 94
TEBBETTS MO 65080-1626
Officer/Director/Trustee Five
JIM BRUNE
TRUSTEE
4305 STATE RD AA
TEBBETTS MO 65080-1626
| Organization’s website | |
|---|---|
| Organization’s email | TEBBETTSCOMMUNITYCLUB@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/1/2016 |
| Organization Incorporation State | MO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P28 - Neighborhood Centers, Settlement Houses |
| 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | Yes |
| 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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