FORM 1023-EZ for FLINT CREEK YOUTH RANCH

Field Data
EIN 45-5580132
Case Number EO-2016109-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLINT CREEK YOUTH RANCH
Organization’s Mailing Address 11449 CRIPPS RD
City GENTRY
State AR
ZIP 72734
Accounting period End 12
Primary contact name LEO NASH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEO NASH
PRESIDENT
P O BOX 1002
GENTRY AR 72734

Officer/Director/Trustee Two

SANDEE NASH
VICE PRESIDENT
P O BOX 1002
GENTRY AR 72734

Officer/Director/Trustee Three

DANA BEIERLE
SECRETARY
11449 CRIPPS RD
GENTRY AR 72734

Officer/Director/Trustee Four

ELIZABETH THOMAS
BOARD MEMBER
9510 PINE GROVE RD
GENTRY AR 72734

Officer/Director/Trustee Five

ELIZABETH THOMAS
BOARD MEMBER
9510 PINE GROVE RD
GENTRY AR 72734

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2013
Organization Incorporation State AR
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: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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