FORM 1023-EZ for APPLETON CITY CAROUSEL

Field Data
EIN 87-2404792
Case Number EO-2021260-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APPLETON CITY CAROUSEL
Organization’s Mailing Address 1704 NE COUNTY ROAD 14963
City MONTROSE
State MO
ZIP 64770
Accounting period End 12
Primary contact name LORI BARTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA LAMPKIN
CHAIRMAN
1704 NE COUNTY ROAD 14963
MONTROSE MO 64770

Officer/Director/Trustee Two

STEVEN CROSS
VICE PRESIDENT
200 W 4TH ST
APPLETON CITY MO 64724

Officer/Director/Trustee Three

KATIE EVANS
SECRETARY
113 W 4TH ST
APPLETON CITY MO 64724

Officer/Director/Trustee Four

LORI BARTZ
TREASURER
14378 NE COUNTY ROAD 4
APPLETON CITY MO 64724

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2021
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 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 LORI BARTZ
Signature Title TREASURER
Signature Date 9/15/2021

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