FORM 1023-EZ for EVERGREEN ENTERPRISES MMXIV

Field Data
EIN 46-4890829
Case Number EO-2016305-000394
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EVERGREEN ENTERPRISES MMXIV
Organization’s Mailing Address PO BOX 51
City MARIONVILLE
State MO
ZIP 65705
Accounting period End 12
Primary contact name VELMA BOYD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN BOYD
DIRECTOR
609 EUCLID
MARIONVILLE MO 65705

Officer/Director/Trustee Two

MICHELLE PAULIK
DIRECTOR
524 TWIN LAKE DRIVE
BILLINGS MO 65610

Officer/Director/Trustee Three

PHILLIP BOYD
DIRECTOR
23956 LAWERENCE 2152
MARIONVILLE MO 65705

Officer/Director/Trustee Four

PHIL MCNUTT
DIRECTOR
4350 N FARM ROAD 151
SPRINGFIELD MO 65803

Officer/Director/Trustee Five

NATHAN PAULIK
DIRECTOR
4350 N FARM RD 151
SPRINGFIELD MO 65803

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
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 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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