FORM 1023-EZ for 4 STATES STEAM

Field Data
EIN 83-3600309
Case Number EO-2019224-000478
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 4 STATES STEAM
Organization’s Mailing Address 18019 HWY 39
City AURORA
State MO
ZIP 65605
Accounting period End 12
Primary contact name RICK PAINTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICK PAINTER
PRESIDENT
18019 HWY 39
AURORA MO 65605

Officer/Director/Trustee Two

LYNDA PAINTER
SECRETARY
18019 HWY 39
AURORA MO 65605

Officer/Director/Trustee Three

ANN MARIE RAUSCH
DIRECTOR
21655 HWY H
MONETT MO 65708

Officer/Director/Trustee Four

DAVID BUCK
DIRECTOR
23359 LAWRENCE 1120
VERONA MO 65769

Officer/Director/Trustee Five

JAMES MASSARDO
DIRECTOR
22911 LAWRENCE 1091
MONETT MO 65708

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICK PAINTER
Signature Title PRESIDENT
Signature Date 8/9/19

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