FORM 1023-EZ for SYCAMORE CEMETERY ASSOCIATION INC

Field Data
EIN 80-0251092
Case Number EO-2016028-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SYCAMORE CEMETERY ASSOCIATION INC
Organization’s Mailing Address PO BOX 262
City MILLER
State MO
ZIP 65707-0262
Accounting period End 5
Primary contact name GARY WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA SHORT
PRESIDENT
12075 HWY OO
MT. VERNON MO 65712-7807

Officer/Director/Trustee Two

GARY WILSON
TREASURER
1511 E SUNVALE TERRACE
OLATHE KS 66062-2110

Officer/Director/Trustee Three

DANA ERICKSON
VICE PRESIDENT
302 W 2ND STREET
MILLER MO 65707-9226

Officer/Director/Trustee Four

PATRICIA HOOD
SECRETERY
8811 LAWRENCE 1100
MT. VERNON MO 65712-7314

Officer/Director/Trustee Five

JANE HOOD
TRUSTEE
1121 W SHAWNEE
SPRINGFIELD MO 65810-2294

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/1968
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 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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