FORM 1023-EZ for LITTLE SAC BAPTIST CHURCH

Field Data
EIN 47-5485935
Case Number EO-2015310-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LITTLE SAC BAPTIST CHURCH
Organization’s Mailing Address 5280 GRANT RD
City MORRISVILLE
State MO
ZIP 65710
Accounting period End 12
Primary contact name SHANE HAMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANE HAMMONS
PRESIDENT
5280 GRANT RD
MORRISVILLE MO 65710

Officer/Director/Trustee Two

TIM STILLINGS
VICE-PRESIDENT
5375 S 90TH RD
MORRISVILLE MO 65710

Officer/Director/Trustee Three

JOSH MYERS
TREASURER
5375 S 90TH RD
MORRISVILLE MO 65710

Officer/Director/Trustee Four

JAKE MYERS
SECRETARY
1050 E 535TH RD
MORRISVILLE MO 65710

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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
Signature Title
Signature Date

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