FORM 1023-EZ for GMA PAMS RACK PACK

Field Data
EIN 47-4244798
Case Number EO-2015166-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GMA PAMS RACK PACK
Organization’s Mailing Address PO BOX 52
City LICKING
State MO
ZIP 65542
Accounting period End 12
Primary contact name KASSI RAMSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARY HASSELL
PRESIDENT
11001 HWY 63
LICKING MO 65542

Officer/Director/Trustee Two

KASSI RAMSEY
VICE PRESIDENT
21063 W ASHLEY RD
RAYMONDVILLE MO 65555

Officer/Director/Trustee Three

GINGER SMITH
SECRETARY
12934 RAY DR
LICKING MO 65542

Officer/Director/Trustee Four

SARA LANE
TREASURER
12055 HWY 137
LICKING MO 65542

Officer/Director/Trustee Five

JOANN SCHAFER
REPORTER
939 COUNTY RD 3233
SALEM MO 65560

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 Yes
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
Signature Title
Signature Date

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