FORM 1023-EZ for PHENOM CENTRAL MISSOURI

Field Data
EIN 81-1613779
Case Number EO-2016060-000361
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHENOM CENTRAL MISSOURI
Organization’s Mailing Address 14155 LEATHERMAN LANE
City VERSAILLES
State MO
ZIP 65084
Accounting period End 12
Primary contact name NEAL SIDEBOTTOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NEAL SIDEBOTTOM
HEAD COACH
14155 LEATHERMAN LANE
VERSAILLES MO 65084

Officer/Director/Trustee Two

ERIC WELSCHMEYER
ASSISTANT COACH/ LOGISTICS
5104 SUNRISE DR APT C
JEFFERSON CITY MO 65101

Officer/Director/Trustee Three

RODNEY GIPE
ASSISTANT COACH/RECRUITING
8208 DEER HAVEN CT
JEFFERSON CITY MO 65101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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