FORM 1023-EZ for ASH STREET BLOCK CLUB ASSOCIATION

Field Data
EIN 43-1790788
Case Number EO-2019028-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASH STREET BLOCK CLUB ASSOCIATION
Organization’s Mailing Address 320 ASH STREET
City JEFFERSON CITY
State MO
ZIP 65101-4003
Accounting period End 12
Primary contact name MICHAEL BROWNSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH WYMBS
EXECUTIVE DIRECTOR
320 ASH STREET
JEFFERSON CITY MO 65101-4003

Officer/Director/Trustee Two

MICHAEL BROWNSTEIN
PRESIDENT
320 ASH
JEFFERSON CITY MO 65101-4003

Officer/Director/Trustee Three

HIEN NGUYEN
SECRETARY
316 ASH STREET
JEFFERSON CITY MO 65101

Officer/Director/Trustee Four

LAWRENCE HOGG
TREASURER
320 ASH
JEFFEROSN CITY MO 65101-4003

Officer/Director/Trustee Five

BLAKE ADAMSON
DIRECTOR
225 DOVER STREET
JEFFERSON CITY MO 65109-4927

Organization’s website
Organization’s email MHBROWNSTEIN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/98
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name MICHAEL BROWNSTEIN
Signature Title PRESIDENT
Signature Date 12/14/18

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