FORM 1023-EZ for FRIENDS OF MID-MISSOURI FISHER HOUSE INC

Field Data
EIN 83-0762172
Case Number EO-2018157-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF MID-MISSOURI FISHER HOUSE INC
Organization’s Mailing Address 4000 IVANHOE BLVD
City COLUMBIA
State MO
ZIP 65203
Accounting period End 9
Primary contact name L STEPHEN GAITHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

L STEPHEN GAITHER
CHAIRMAN, DIRECTOR
4000 IVANHOE BLVD
COLUMBIA MO 65203

Officer/Director/Trustee Two

EILEEN SCRIVNER
VICE PRESIDENT, DIRECTOR
1908 N PARKWAY
JEFFERSON CITY MO 65109

Officer/Director/Trustee Three

RECECCA NIETERS
SECRETARY, DIRECTOR
2400 CALDER COURT
COLUMBIA MO 65201

Officer/Director/Trustee Four

PAUL MOEN
TREASURER, DIRECTOR
414 E BROADWAY STE 2200
COLUMBIA MO 65201

Officer/Director/Trustee Five

JOHN CASSELS
DIRECTOR, DIRECTOR
4011 IVANHOE BLVD
COLUMBIA MO 65203

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/18
Organization Incorporation State MO
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: 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 L STEPHEN GAITHER
Signature Title CHAIRMAN, DIRECTOR
Signature Date 6/4/18

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