FORM 1023-EZ for OZARK MOUNTAIN MUSIC

Field Data
EIN 45-2736797
Case Number EO-2014232-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OZARK MOUNTAIN MUSIC
Organization’s Mailing Address 5106 STATE HIGHWAY Y
City GALENA
State MO
ZIP 65656
Accounting period End 12
Primary contact name KARLENE MCGILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KARLENE MCGILL
PRESIDENT/DIRECTOR
5106 STATE HIGHWAY Y
GALENA MO 65656

Officer/Director/Trustee Two

CRAIG DUDENHOEFFER
VP
337 QUAIL RUN RD
MARSHFIELD MO 56706

Officer/Director/Trustee Three

KIMBERLY JEAN
SECRETARY
HIGHWAY 14
OZARK MO 65721

Officer/Director/Trustee Four

LOWELL THOMSEN
TREASURER
487 JACKSON HOLOW RD
GALENA OH 65656

Organization’s website OZARKMOUNTAINMUSIC.COM
Organization’s email WHITEOAK@CENTURYTEL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2011
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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