FORM 1023-EZ for FAIRVIEW CEMETERY ASSOCIATION

Field Data
EIN 30-0874135
Case Number EO-2018178-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAIRVIEW CEMETERY ASSOCIATION
Organization’s Mailing Address PO BOX 513
City MOUNT VERNON
State MO
ZIP 65712-513
Accounting period End 8
Primary contact name SUELEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILL BUEHLER
PRESIDENT
16329 LAWRENCE 2175
AURORA MO 65605-8283

Officer/Director/Trustee Two

MADISON BLEDSOE
VICE PRESIDENT
928 S EAST STREET
MOUNT VERNON MO 65712-1330

Officer/Director/Trustee Three

SUE LEE
SECRETARY/TREASURER
116 W SLOAN STREET
MOUNT VERNON MO 65712-513

Organization’s website
Organization’s email SUELEE74@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/15
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SUE LEE
Signature Title SECRETARY/TREASURER
Signature Date 6/25/18
EIN 30-0874135
Case Number EO-2015187-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAIRVIEW CEMETERY ASSOCIATION
Organization’s Mailing Address PO BOX 513
City MOUNT VERNON
State MO
ZIP 65712-0513
Accounting period End 8
Primary contact name SUE LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BILL BUEHLER
PRESIDENT
16329 LAWRENCE 2175
AURORA MO 65605-8283

Officer/Director/Trustee Two

MADISON BLEDSOE
VICE PRESIDENT
928 S EAST ST
MOUNT VERNON MO 65712-1330

Officer/Director/Trustee Three

JULIE TURNER
TREASURER
700 E CHERRY
MOUNT VERNON MO 65712-1325

Officer/Director/Trustee Four

SUE LEE
SECRETARY
114 W SLOAN ST
MOUNT VERNON MO 65712-1729

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 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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