FORM 1023-EZ for CASS COUNTY SHERIFFS AUXILIARY INC

Field Data
EIN 47-4096635
Case Number EO-2015163-000414
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CASS COUNTY SHERIFFS AUXILIARY INC
Organization’s Mailing Address 2501 W MECHANIC ST
City HARRISONVILLE
State MO
ZIP 64701
Accounting period End 8
Primary contact name KEVIN TIEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PEGGY FORD
PRESIDENT
15005 GRAND SUMMIT BLVD APT 104
GRANDVIEW MO 64030-3368

Officer/Director/Trustee Two

DENISE MILLER
VICE PRESIDENT
522 BROOKWOOD LN
RAYMORE MO 64083-9404

Officer/Director/Trustee Three

PAMELA CROWDEN
SECRETARY
32720 S W OUTER ROAD
HARRISONVILLE MO 64701-7400

Officer/Director/Trustee Four

JANE HICKLIN
TREASURER
21811 S KNIGHT ROAD
PECULIAR MO 64708-8754

Officer/Director/Trustee Five

KEVIN TIEMAN II
DIRECTOR
1401 S HALSEY AVE
HARRISONVILLE MO 64701-3437

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
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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