FORM 1023-EZ for MARTIN CEMETERY PERPETUAL CARE ANDMAINTENANCE FUND INC

Field Data
EIN 84-2033879
Case Number EO-2019234-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARTIN CEMETERY PERPETUAL CARE ANDMAINTENANCE FUND INC
Organization’s Mailing Address 1023 MANZE ST
City WEST PLAINS
State MO
ZIP 65775
Accounting period End 12
Primary contact name RADIS E SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC MARTIN
PRESIDENT
2528 SPRING VALLEY DR
ST PETERS MO 63376-7129

Officer/Director/Trustee Two

DOUG MARTIN
VICE PRESIDENT
3692 HARMANY CHURCH RD
ADAMS TN 37010

Officer/Director/Trustee Three

KELLY BURGESS
BOARD MEMBER
9466 E ST HIWAY AD
ROGERSVILLE MO 65742

Officer/Director/Trustee Four

JOESEPH WILLIAMS
BOARD MEMBER
2321 ENTITY AVE
ST LOUIS MO 63114

Officer/Director/Trustee Five

RADIS SMITH
TREASURER BOARD MEMBER
1023 MANZE ST
WEST PLAINS MO 65775

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/81
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RADIS SMITH
Signature Title TREASURER BOARD MEMBER
Signature Date 8/20/19
EIN 84-2033879
Case Number EO-2019234-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARTIN CEMETERY PERPETUAL CARE AND MAINTENANCE FUND INC
Organization’s Mailing Address 1023 MANZE ST
City WEST PLAINS
State MO
ZIP 65775
Accounting period End 12
Primary contact name RADIS E SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC MARTIN
PRESIDENT
2528 SPRING VALLEY DR
ST PETERS MO 63376-7129

Officer/Director/Trustee Two

DOUG MARTIN
VICE PRESIDENT
3692 HARMANY CHURCH RD
ADAMS TN 37010

Officer/Director/Trustee Three

KELLY BURGESS
BOARD MEMBER
9466 E ST HIWAY AD
ROGERSVILLE MO 65742

Officer/Director/Trustee Four

JOESEPH WILLIAMS
BOARD MEMBER
2321 ENTITY AVE
ST LOUIS MO 63114

Officer/Director/Trustee Five

RADIS SMITH
TREASURER BOARD MEMBER
1023 MANZE ST
WEST PLAINS MO 65775

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/81
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RADIS SMITH
Signature Title TREASURER BOARD MEMBER
Signature Date 8/20/19

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