FORM 1023-EZ for NORTHWEST ARKANSAS MOAA CHAPTER

Field Data
EIN 47-5390089
Case Number EO-2016090-000526
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHWEST ARKANSAS MOAA CHAPTER
Organization’s Mailing Address P O BOX 614
City FAYETTEVILLE
State AR
ZIP 72702-0614
Accounting period End 12
Primary contact name GARY CULP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MERLE WILLIAMS
PRESIDENT
631 CACTUS WREN DRIVE
FARMINGTON AR 72730

Officer/Director/Trustee Two

DAN WEBB
VICE PRESIDENT
3138 CRESTLINE PLACE
FAYETTEVILLE AR 72701

Officer/Director/Trustee Three

RICHARD SANSOM
SECRETARY
16120 ONDA MOUNTAIN ROAD
WEST FORK AR 72774

Officer/Director/Trustee Four

JAMES GLOVER
TREASURER
314 EAST PARKS STREET
PRAIRIE GROVE AR 72753

Officer/Director/Trustee Five

GARY CULP
IMMEDIATE PAST PRESIDENT
P O BOX 1209
WEST FORK AR 72774-1209

Organization’s website WWW.MOAA.ORG/CHAPTER/NORTHWESTARKANSAS
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/1983
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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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