FORM 1023-EZ for ELLSINORE YOUTH COMMUNITY CENTER

Field Data
EIN 14-1920797
Case Number EO-2015057-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELLSINORE YOUTH COMMUNITY CENTER
Organization’s Mailing Address PO BOX 55
City ELLSINORE
State MO
ZIP 63937
Accounting period End 6
Primary contact name JOSEPH HECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH HECKER
PRESIDENT
15 EAST NORTH AVE
ELLSINORE MO 63937

Officer/Director/Trustee Two

MARVENE BURKHART
VICE PRESIDENT
RT 2 BOX 4432
ELLSINORE MO 63937

Officer/Director/Trustee Three

COURTNEY HATTON
TREASURE
PO BOX 53
ELLSINORE MO 63937

Officer/Director/Trustee Four

SUE HECKER
SECRETARY
15 EAST NORTH AVE
ELLSINORE MO 63937

Officer/Director/Trustee Five

FAITH HECKER
ACTIVITY DIRECTOR
PO BOX 441
ELLSINORE MO 63937

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2005
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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
Signature Title
Signature Date

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