FORM 1023-EZ for MISSOURI FOLK ART SHOP AND GALLERY

Field Data
EIN 84-1959500
Case Number EO-2019169-000537
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSOURI FOLK ART SHOP AND GALLERY
Organization’s Mailing Address 12700 NORTH ROUTE J
City HARRISBURG
State MO
ZIP 65256
Accounting period End 6
Primary contact name JUANITA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUANITA SMITH
PRESIDENT
12700 NORTH ROUTE J
HARRISBURG MO 65256

Officer/Director/Trustee Two

MARY BARILE
VICE PRESIDENT
605 HIGH STREET
BOONVILLE MO 65233

Officer/Director/Trustee Three

TINA EDHOLM
SECRETARY
2237 CONCORDIA DRIVE
COLUMBIA MO 65203

Officer/Director/Trustee Four

JAMES HENDERSON
TREASURER
2237 CONCORDIA DRIVE
COLUMBIA MO 65203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
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 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 JUANITA SMITH
Signature Title PRESIDENT
Signature Date 6/14/19

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