FORM 1023-EZ for PCR3 BASS FISHING CLUB PARENT ASSOCIATION

Field Data
EIN 83-0602222
Case Number EO-2019035-000804
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PCR3 BASS FISHING CLUB PARENT ASSOCIATION
Organization’s Mailing Address 15255 NW 137TH CT
City PLATTE CITY
State MO
ZIP 64079
Accounting period End 12
Primary contact name SHELLI STACKHOUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELLI STACKHOUSE
PRESIDENT
15255 NW 137TH CT
PLATTE CITY MO 64079

Officer/Director/Trustee Two

TIFFANY STONER
TREASURER
16100 NW 130TH ST
PLATTE CITY MO 64079

Officer/Director/Trustee Three

ROBIN WATSON
SECRETARY
10955 BAKER RD
PLATTE CITY MO 64079

Organization’s website
Organization’s email PCR3BASSFISHINGCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/18
Organization Incorporation State MO
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: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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 SHELLI STACKHOUSE
Signature Title PRESIDENT
Signature Date 1/13/19

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