FORM 1023-EZ for LEWS COUNTY REC CARES FOUNDATION

Field Data
EIN 83-4695850
Case Number EO-2019133-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEWS COUNTY REC CARES FOUNDATION
Organization’s Mailing Address PO BOX 68
City LEWISTOWN
State MO
ZIP 63452
Accounting period End 12
Primary contact name TRAVIS MATHES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDY SMITH
PRESIDENT
18468 225TH ST
LEWISTOWN MO 63452

Officer/Director/Trustee Two

RYAN ST CLAIR
VICE-PRESIDENT
25918 CR 367
CANTON MO 63435

Officer/Director/Trustee Three

JANICE MCGINNIS
SECRETARY/TREASURER
57136 STATE HIGHWAY 6
EDINA MO 63537

Officer/Director/Trustee Four

RENEE KIRCHNER
DIRECTOR
21971 COUNTY ROAD 132
LURAY MO 63453

Officer/Director/Trustee Five

TRAVIS MATHES
EXECUTIVE DIRECTOR
25897 HWY EE
KAHOKA MO 63445

Organization’s website
Organization’s email TMATHES@LEWISCOUNTYREC.COOP
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/19
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: Yes
Educational: Yes
Scientific: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TRAVIS MATHES
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/9/19

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