FORM 1023-EZ for FORT SCOTT COMPASSIONATE MINISTIRES

Field Data
EIN 83-4673288
Case Number EO-2019144-000081
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORT SCOTT COMPASSIONATE MINISTIRES
Organization’s Mailing Address 26 N MAIN
City FORT SCOTT
State KS
ZIP 66701
Accounting period End 12
Primary contact name ALLEN SCHELLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RALPH SCHELLACK JR
CEO
816 E 12TH ST
FORT SCOTT KS 66701

Officer/Director/Trustee Two

LISA ROBERTSON
TREASURER
1816 TIERNAN RD
FORT SCOTT KS 66701

Officer/Director/Trustee Three

CATHY VACCARO
VICE PRESIDENT
1301 MARBLECREST DR
FORT SCOTT KS 66701

Officer/Director/Trustee Four

JON LOWERY
BOARD MEMBER
1209 240TH
FORT SCOTT KS 66701

Officer/Director/Trustee Five

GRACE HARDWICK
BOARD MEMBER
752 S JUDSON
FORT SCOTT KS 66701

Organization’s website N/A
Organization’s email FORTSCOTTOUTREACH@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/14
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 Yes
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 RALPH SCHELLACK JR
Signature Title CEO
Signature Date 5/22/19

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