FORM 1023-EZ for NORTH CENTRAL ARKANSAS ADOPTION COALITION

Field Data
EIN 47-3925740
Case Number EO-2018239-000833
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH CENTRAL ARKANSAS ADOPTION COALITION
Organization’s Mailing Address 379 WATERFALL LANE
City YELLVILLE
State AR
ZIP 72687
Accounting period End 12
Primary contact name DEBRA MEYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA MEYER
PRESIDENT
379 WATERFALL LANE
YELLVILLE AR 72687

Officer/Director/Trustee Two

KRISTA BACKUS
VP
180 HENDERSON RD
LAKEVIEW AR 72642

Officer/Director/Trustee Three

KATHY WOOD
SEC
PO BOX 442
SUMMIT AR 72677

Officer/Director/Trustee Four

PAM MAY
TREASURER
PO BOX 416
FLIPPIN AR 72634

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/15
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P31 - Adoption
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBRA MEYER
Signature Title PRESIDENT
Signature Date 8/24/18
EIN 47-3925740
Case Number EO-2015219-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH CENTRAL ARKANSAS ADOPTION COALITION
Organization’s Mailing Address 379 WATERFALL LANE
City YELLVILLE
State AR
ZIP 72687-9010
Accounting period End 12
Primary contact name CASSANDRA LABAHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBRA MEYER
PRESIDENT
379 WATERFALL LANE
YELLVILLE AR 72687-9010

Officer/Director/Trustee Two

KRISTA BACKUS
VICE PRESIDENT
180 HENDERSON RD
LAKEVIEW AR 72642

Officer/Director/Trustee Three

KATHY WOOD
SECRETARY
PO BOX 442
SUMMIT AR 72677

Officer/Director/Trustee Four

PAM MAY
TREASURER
PO BOX
FLIPPIN AR 72634

Organization’s website
Organization’s email NORTHCENTRALARADOPTCOALITION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2015
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P31 - Adoption
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
Signature Title
Signature Date

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