FORM 1023-EZ for MARTHASVILLE FIRE EMS COMMUNITY OUTREACH

Field Data
EIN 81-4866379
Case Number EO-2017055-000711
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARTHASVILLE FIRE EMS COMMUNITY OUTREACH
Organization’s Mailing Address 200 SOUTH ONE ST
City MARTHASVILLE
State MO
ZIP 63357
Accounting period End 8
Primary contact name DANIELLE M LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE LEE
CO FOUNDER
612 COUNTRYLAND DR
CENTRALIA MO 65240

Officer/Director/Trustee Two

BRIAN KOPP
CO FOUNDER
863 COUNTRY VIEW LN
MARTHASVILLE MO 63357

Organization’s website
Organization’s email MARTHASVILLECOMMOUTREAH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S50 - Nonprofit Management
Organization’s purpose Charitable: Yes
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 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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