FORM 1023-EZ for COLUMBIA EDUCATIONAL ROBOTICS FOUNDATION

Field Data
EIN 47-4219934
Case Number EO-2015329-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLUMBIA EDUCATIONAL ROBOTICS FOUNDATION
Organization’s Mailing Address 4471 E RAVENS RIDGE DR
City COLUMBIA
State MO
ZIP 65201
Accounting period End 12
Primary contact name KEVIN GILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN GILLIS
CEO, CHAIRPERSON, TREASURER
4471 E RAVENS RIDGE DR
COLUMBIA MO 65201

Officer/Director/Trustee Two

ANDREW WINSLOW
SECRETARY
1700 FORUM BLVD / APT 404
COLUMBIA MO 65203

Officer/Director/Trustee Three

JANET BAGBY
DIRECTOR
1607 BIRMINGHAM CT
COLUMBIA MO 65203

Officer/Director/Trustee Four

HEATHER MCCULLAR
DIRECTOR
206 MACAW DR
COLUMBIA MO 65202

Officer/Director/Trustee Five

BILL PABST
DIRECTOR
807 SPENCER AVE
COLUMBIA MO 65203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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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