FORM 1023-EZ for STOCKTON OPTIMIST FOUNDATION

Field Data
EIN 81-4565174
Case Number EO-2016340-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STOCKTON OPTIMIST FOUNDATION
Organization’s Mailing Address 717 N WARD ST
City STOCKTON
State MO
ZIP 65785-8508
Accounting period End 12
Primary contact name JOAN GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES DELANEY
PRESIDENT
502 W CRAIG ST
STOCKTON MO 65785-8508

Officer/Director/Trustee Two

JOAN GREEN
SECRETARY/TREASURER
717 N WARD ST
STOCKTON MO 65785-8508

Officer/Director/Trustee Three

KEITH BAKEMAN
VICE-PRESIDENT/DIRECTOR
1028 N HWY 215
DADEVILLE MO 65635

Officer/Director/Trustee Four

MARY MORRIS
DIRECTOR
107 E WALNUT
STOCKTON MO 65785-8508

Officer/Director/Trustee Five

BRENDA DELANEY
DIRECTOR
502 W CRAIG ST
STOCKTON MO 65785-8508

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 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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