FORM 1023-EZ for JEEPING MID RIVERS

Field Data
EIN 47-5082434
Case Number EO-2015279-000123
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEEPING MID RIVERS
Organization’s Mailing Address 830 WHITCOMB WOODS DRIVE
City TROY
State MO
ZIP 63379-3004
Accounting period End 6
Primary contact name KELLY REID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN MEDLIN
COORDINATOR
3037 WINDING RIVER DRIVE
ST. CHARLES MO 63303

Officer/Director/Trustee Two

HARRY REID
COORDINATOR
830 WHITCOMB WOODS DRIVE
TROY MO 63379-3004

Officer/Director/Trustee Three

MICHAEL MOORE
COORDINATOR
134 EMERALD ISLE LANE
WENTZVILLE MO 63385

Officer/Director/Trustee Four

MICHAEL ROBINSON
COORDINATOR
2015 BOBWHITE COURT
O'FALLON MO 63366

Officer/Director/Trustee Five

ROBERT NELSON
COORDINATOR
17 COACHMAN LANE
VILLA RIDGE MO 63089

Organization’s website N/A
Organization’s email JEEPINGMIDRIVERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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
Signature Title
Signature Date

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