FORM 1023-EZ for MARION COUNTY COWBOY CHURCH

Field Data
EIN 27-3117984
Case Number EO-2017082-000348
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARION COUNTY COWBOY CHURCH
Organization’s Mailing Address P O BOX 98
City BEAR CREEK
State AL
ZIP 35543
Accounting period End 12
Primary contact name SHEILA CASEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM LEWIS
PASTOR
745 COUNTY RD 133
HAMILTON AL 35570

Officer/Director/Trustee Two

BRENT SHAW
ELDER
17495 STATE HWY 129
HALEYVILLE AL 35565

Officer/Director/Trustee Three

TOM CASEY
ELDER
9805 STATE HWY 13
BEAR CREEK AL 35543

Officer/Director/Trustee Four

SHEILA CASEY
FINANCIAL TEAM LEADER
9805 STATE HWY 13
BEAR CREEK AL 35543

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2015
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 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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