FORM 1023-EZ for MID MISSOURI RESPONSIBLE BREEDERS

Field Data
EIN 61-1854826
Case Number EO-2017263-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MID MISSOURI RESPONSIBLE BREEDERS
Organization’s Mailing Address 224 BLACK JANE LANE
City NIANGUA
State MO
ZIP 65713
Accounting period End 12
Primary contact name DEANA L PARSICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN BEAUCHAMP
PRESIDENT
32069 HWY 5
LEBANNON MO 65536

Officer/Director/Trustee Two

ALICIA DAVIS
VICE PRESIDENT
PO BOX 93
FALCON MO 65470

Officer/Director/Trustee Three

JULIE PURVIS
SECRETARY
3432 OLD RT 5
CAMDENTON MO 65020

Officer/Director/Trustee Four

INGE HANEY
TREASURER
224 BLACK JANE LANE
NIANGUA MO 65713

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D03 - Professional Societies, Associations
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 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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