FORM 1023-EZ for LEASBURG REVITALIZATION ORGANIZATION

Field Data
EIN 81-4100643
Case Number EO-2016319-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEASBURG REVITALIZATION ORGANIZATION
Organization’s Mailing Address P O BOX 130
City LEASBURG
State MO
ZIP 65535
Accounting period End 12
Primary contact name LORIAN MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RON KITCHEN
PRESIDENT
1714 LICK CREEK ROAD
LEASBURG MO 65535

Officer/Director/Trustee Two

LORIAN MOORE
VICE PRESIDENT
485 DOGWOOD HILLS PO BOX 130
LEASBURG MO 65535

Officer/Director/Trustee Three

SHIRLEY WILLIAMS
TREASURER
966 NIXON SCHOOL ROAD
LEASBURG MO 65535

Officer/Director/Trustee Four

ERICA WEST
SECRETARY
621 LAKE DRIVE
LEASBURG MO 65535

Organization’s website HTTP://WWW.LEASBURGREVITALIZE.ORG/
Organization’s email LEASBURGREVITALIZE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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
Signature Title
Signature Date

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