FORM 1023-EZ for WORTH COUNTY SENIOR SERVICES CENTERINC

Field Data
EIN 26-0122065
Case Number EO-2020216-000661
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WORTH COUNTY SENIOR SERVICES CENTERINC
Organization’s Mailing Address PO BOX 16
City GRANT CITY
State MO
ZIP 64456-0016
Accounting period End 12
Primary contact name EDITH MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA STEPHENSON
PRESIDENT
109 E 1ST ST
GRANT CITY MO 64456

Officer/Director/Trustee Two

SUE HULL
TREASURER
PO BOX 250
GRANT CITY MO 64456-0250

Officer/Director/Trustee Three

SANDRA MARSHALL
VICE PRESIDENT
18310 HWY C
DENVER MO 64441

Officer/Director/Trustee Four

EDITH MILLER
SECRETARY
PO BOX 273
GRANT CITY MO 64456-0273

Officer/Director/Trustee Five

DUANE OLNEY
BOARD MEMBER
1101 S HIGH ST
GRANT CITY MO 64456

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/1976
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
Correctness Declaration Yes
Signature Name EDITH MILLER
Signature Title SECRETARY
Signature Date 7/31/2020

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