FORM 1023-EZ for ANDERSON BETTERMENT CLUB

Field Data
EIN 30-0640242
Case Number EO-2014234-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANDERSON BETTERMENT CLUB
Organization’s Mailing Address PO BOX 421
City ANDERSON
State MO
ZIP 64831
Accounting period End 6
Primary contact name KEN SCHUTTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEN SCHUTTEN
PRESIDENT
806 N HWY 71
ANDERSON MO 64831

Officer/Director/Trustee Two

CRYSTAL SHERMAN
VICE PRESIDENT
102 WALNUT ST
ANDERSON MO 64831

Officer/Director/Trustee Three

DANITA MOORE
SECRETARY
707 N HWY 71
ANDERSON MO 68431

Officer/Director/Trustee Four

GARY WASSON
BOARD MEMBER
122 MAIN ST
ANDERSON MO 64831

Officer/Director/Trustee Five

JASON POE
BOARD MEMBER
119 W MAIN ST
ANDERSON MO 64831

Organization’s website WWW.ANDERSONBETTERMENT.ORG
Organization’s email INFO@ANDERSONBETTERMENT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2010
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: 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 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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