FORM 1023-EZ for MEADOWBROOK NORTH NEIGHBORHOOD ANDCOMMUNITY GARDEN

Field Data
EIN 84-2682418
Case Number EO-2019226-000358
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEADOWBROOK NORTH NEIGHBORHOOD ANDCOMMUNITY GARDEN
Organization’s Mailing Address 6808 N WALROND AVE
City GLADSTONE
State MO
ZIP 64119
Accounting period End 8
Primary contact name AJA HARTMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AJA HARTMAN
GARDEN COORDINATOR
6808
GLADSTONE MO 64119-1143

Officer/Director/Trustee Two

JERRY BREESE
PRESIDENT
6505 N AGNES
GLADSTONE MO 64119-1520

Officer/Director/Trustee Three

KAREN BREESE
SECRETARY
6505 N AGNES
GLADSTONE MO 64119-1520

Officer/Director/Trustee Four

JANICE SAPP
TREASURER
6731 N BELLEFONITAINE CIR
GLADSTONE MO 64119-1571

Organization’s website
Organization’s email MEADOWBROOKGROW@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 AJA HARTMAN
Signature Title GARDEN COORDINATOR
Signature Date 8/12/19
EIN 84-2682418
Case Number EO-2019226-000358
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEADOWBROOK NORTH NEIGHBORHOOD AND COMMUNITY GARDEN
Organization’s Mailing Address 6808 N WALROND AVE
City GLADSTONE
State MO
ZIP 64119
Accounting period End 8
Primary contact name AJA HARTMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AJA HARTMAN
GARDEN COORDINATOR
6808
GLADSTONE MO 64119-1143

Officer/Director/Trustee Two

JERRY BREESE
PRESIDENT
6505 N AGNES
GLADSTONE MO 64119-1520

Officer/Director/Trustee Three

KAREN BREESE
SECRETARY
6505 N AGNES
GLADSTONE MO 64119-1520

Officer/Director/Trustee Four

JANICE SAPP
TREASURER
6731 N BELLEFONITAINE CIR
GLADSTONE MO 64119-1571

Organization’s website
Organization’s email MEADOWBROOKGROW@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 AJA HARTMAN
Signature Title GARDEN COORDINATOR
Signature Date 8/12/19

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