FORM 1023-EZ for THE OZARKS COUNTRY KENNEL CLUB

Field Data
EIN 46-3834759
Case Number EO-2014303-000512
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE OZARKS COUNTRY KENNEL CLUB
Organization’s Mailing Address 5141 CO RD 9380
City WEST PLAINS
State MO
ZIP 65775
Accounting period End 12
Primary contact name GLENDA WATSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN TACKITT
PRESIDENT
1846 CO RD 6070
WEST PLAINS MO 65775

Officer/Director/Trustee Two

ELLEN ROBERTS
VICE-PRESIDENT
1261 ST RT 14
WEST PLAINS MO 65775

Officer/Director/Trustee Three

KIMBERLY DILDINE
SECRETARY
3551 CO RD 5460
WILLOW SPRINGS MO 65793

Officer/Director/Trustee Four

GLENDA WATSON
TREASURER
5141 CO RD 9380
WEST PLAINS MO 65775

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2013
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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