FORM 1023-EZ for FOREST LAKE AREA TRAIL SYSTEM

Field Data
EIN 81-2935540
Case Number EO-2016242-000071
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOREST LAKE AREA TRAIL SYSTEM
Organization’s Mailing Address 513 EAST SCOTT STREET
City KIRKSVILLE
State MO
ZIP 63501
Accounting period End 12
Primary contact name JESSICA ROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAURITZ ROYCE KALLERUD
CHAIR
513 EAST SCOTT
KIRKSVILLE MO 63501

Officer/Director/Trustee Two

DANIEL MARTIN
VICE CHAIR
1410 NORTH ELSON
KIRKSVILLE MO 63501

Officer/Director/Trustee Three

THEODORE FRUSHOUR
TREASURER
806 SOUTH HALLIBURTON
KIRKSVILLE MO 63501

Officer/Director/Trustee Four

DEBRA BOUGHTON
SECRETARY
3009 TIMBER LANE
KIRKSVILLE MO 63501

Organization’s website WWW.KVFLATS.ORG
Organization’s email FLATSKV@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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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