FORM 1023-EZ for CENTER FOR CAMP SAFETY AND EMERGENCY PREPAREDNESS

Field Data
EIN 85-0753106
Case Number EO-2020111-000492
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTER FOR CAMP SAFETY AND EMERGENCY PREPAREDNESS
Organization’s Mailing Address 1406 NORTH MULBERRY STREET
City MARYVILLE
State MO
ZIP 64468
Accounting period End 12
Primary contact name JOHN CARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JARED HUIBREGTSE
CHAIR OF BOARD/CEO
2471 LABRADOR DRIVE
MANDAN ND 58554

Officer/Director/Trustee Two

EMILY CARR
SECRETARY
523 GRAND BOULEVARD APARTMENT 1C
KANSAS CITY MO 64106

Officer/Director/Trustee Three

RENEE TAYLOR
CHIEF FINANCIAL OFFICER
2313 WEST SHAKESPEARE AVE
CHICAGO IL 60647

Officer/Director/Trustee Four

ERIC WALKER
AT LARGE BOARDMEMBER
1005 CHESTNUT STREET
TARKIO MO 64491

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERIC WALKER
Signature Title AT LARGE BOARDMEMBER
Signature Date 4/18/2020

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