FORM 1023-EZ for FRIENDS OF BLACKWATER

Field Data
EIN 81-1014828
Case Number EO-2016012-000030
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF BLACKWATER
Organization’s Mailing Address 202 MAIN STREET P O BOX 3
City BLACKWATER
State MO
ZIP 65322
Accounting period End 12
Primary contact name MARYAN SCHUSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNICK STRECK
PRESIDENT
2462 MUELLER LANE
PILOT GROVE MO 65276

Officer/Director/Trustee Two

JOYCE DOTY
SECRETARY
14366 OLEANDER AVE
NELSON MO 65347

Officer/Director/Trustee Three

MARYANN SCHUSTER
TREASURER
19000 HWY 41
BLACKWATER MO 65322

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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