FORM 1023-EZ for GREENBRIER CRAPPIE ASSOCIATION

Field Data
EIN 47-5525033
Case Number EO-2018247-000483
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREENBRIER CRAPPIE ASSOCIATION
Organization’s Mailing Address 15 SLM LANE
City GREENBRIER
State AR
ZIP 72058
Accounting period End 12
Primary contact name PATRICK TAFT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDDIE MCPHERSON
PRESIDENT
15 SLM LANE
GREENBRIER AR 72058

Officer/Director/Trustee Two

ERIC HAVENS
VICE-PRESIDENT
34 TORRO PARK CIRCLE
GREENBRIER AR 72058

Officer/Director/Trustee Three

MONTY FORTNER
MEMBER
PO BOX 10551
RUSSELLVILLE AR 72815

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/15
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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 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 EDDIE MCPHERSON
Signature Title PRESIDENT
Signature Date 8/30/18
EIN 47-5525033
Case Number EO-2015317-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREENBRIER CRAPPIE ASSOCIATION
Organization’s Mailing Address 15 SLM LANE
City GREENBRIER
State AR
ZIP 72058
Accounting period End 12
Primary contact name PATRICK TAFT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDDIE MCPHERSON
PRESIDENT
15 SLM LANE
GREENBRIER AR 72058

Officer/Director/Trustee Two

ERIC HAVENS
VICE-PRESIDENT
34 TORRO PARK CIRCLE
GREENBRIER AR 72058

Officer/Director/Trustee Three

MONTY FORTNER
MEMBER
PO BOX 10551
RUSSELLVILLE AR 72812

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2015
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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