FORM 1023-EZ for RURAL OZARK YOUTH OUTREACH INC

Field Data
EIN 36-4954426
Case Number EO-2019340-000182
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RURAL OZARK YOUTH OUTREACH INC
Organization’s Mailing Address 18581 HIGHWAY 19
City STEELVILLE
State MO
ZIP 65565-6047
Accounting period End 12
Primary contact name KEVIN GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN GREEN
PRESIDENT
18581 HIGHWAY 19
STEELVILLE MO 65565-6047

Officer/Director/Trustee Two

JEANNETTE PENDLETON
SECRETARY
368 CHERRYVALLEY ROAD
STEELVILLE MO 65565-3501

Officer/Director/Trustee Three

MICHAEL RETKOWSKI JR
DIRECTOR
119 HICKORY ROAD
STEELVILLE MO 65565-8138

Officer/Director/Trustee Four

BRADLEY DICUS
DIRECTOR
45 SANKE ROAD
STEELVILLE MO 65565-4547

Officer/Director/Trustee Five

RONNIE MASON
DIRECTOR
68 HICKORY RIDGE ROAD
STEELVILLE MO 65565-8132

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/2019
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 KEVIN GREEN
Signature Title PRESIDENT
Signature Date 12/4/2019

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