FORM 1023-EZ for PEACEFUL PARK

Field Data
EIN 46-4435388
Case Number EO-2015173-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEACEFUL PARK
Organization’s Mailing Address 140 LEGENDS CIRCLE
City HOLLISTER
State MO
ZIP 65672-5858
Accounting period End 12
Primary contact name PAUL KATZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL KATZ
PRESIDENT
140 LEGENDS CIRCLE
HOLLISTER MO 65672-5858

Officer/Director/Trustee Two

JO ANN KATZ
SECRETARY
140 LEGENDS CIRCLE
HOLLISTER MO 65672-5858

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D32 - Bird Sanctuary, Preserve
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
Signature Title
Signature Date

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