FORM 1023-EZ for MORGAN COUNTY AGAINST CANCER

Field Data
EIN 84-3088820
Case Number EO-2020016-000276
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MORGAN COUNTY AGAINST CANCER
Organization’s Mailing Address 700 PLEASANT AVE
City GENTRY
State AR
ZIP 72734
Accounting period End 12
Primary contact name DAWN BUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN BUSH
SECRETARY
700 PLEASANT AVENUE
GENTRY AR 72734

Officer/Director/Trustee Two

BARRIE BALES
PRESIDENT
116 CLUBHOUSE DR
BELLA VISTA AR 72715

Officer/Director/Trustee Three

DAWNE GARDNER
VICE PRESIDENT
1139 E KINGSBURY ST
SPRINGFIELD MO 65803

Officer/Director/Trustee Four

STACEY EMBRY
TREASURER
13491 CHURCH RD
VERSAILLES MO 65084

Organization’s website MORGANCOUNTYAGAINSTCANCER.ORG
Organization’s email SHOWMEWEST@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2019
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name DAWN BUSH
Signature Title SECRETARY
Signature Date 1/14/2020

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