FORM 1023-EZ for ARC OF NORTHEAST MISSOURI

Field Data
EIN 83-1292300
Case Number EO-2019221-000078
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARC OF NORTHEAST MISSOURI
Organization’s Mailing Address 1107 COUNTRY CLUB DR
City KIRKSVILLE
State MO
ZIP 63501-3762
Accounting period End 11
Primary contact name KIM BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY FRANCIS
PRESIDENT
1012 W GEORGE
KIRKSVILLE MO 63501-3762

Officer/Director/Trustee Two

DEB WOHLERS
VICE PRESIDENT
10 GRIM CT S
KI MO 63501-3762

Officer/Director/Trustee Three

JILL STIDHAM
SECRETARY
30632 LANTERN ST
LA PLATA MO 63549

Officer/Director/Trustee Four

SUSAN HOWAI
TREASURER
1605 MICHIGAN ST
KIRKSVILLE MO 63501-3762

Officer/Director/Trustee Five

KIM BAKER
MEMBER
913 E JEFFERSON ST
KIRKSVILLE MO 63501-3762

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R23 - Disabled Persons' Rights
Organization’s purpose Charitable: No
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIM BAKER
Signature Title MEMBER
Signature Date 8/7/19

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