FORM 1023-EZ for CENTRAL MISSOURI MIRACLE LEAGUE FOUNDATION

Field Data
EIN 47-1659111
Case Number EO-2014251-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL MISSOURI MIRACLE LEAGUE FOUNDATION
Organization’s Mailing Address 1105 MEADOWS PLACE
City JEFFERSON CITY
State MO
ZIP 65101
Accounting period End 12
Primary contact name RANDY DOERHOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBRA HENDRICKS
CHAIR
1105 MEADOWS PLACE
JEFFERSON CITY MO 65101

Officer/Director/Trustee Two

LOUANN HATHCOCK
VICE-CHAIR
608 CASTLE DR
JEFFERSON CITY MO 65109

Officer/Director/Trustee Three

AMY BELL
SECRETARY TREASURER
113 RIDGEWAY DR
JEFFERSON CITY MO 65109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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
Signature Title
Signature Date

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