FORM 1023-EZ for THE MELVIN THEATER COMMUNITY CENTER

Field Data
EIN 47-4260466
Case Number EO-2018243-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MELVIN THEATER COMMUNITY CENTER
Organization’s Mailing Address 2912 CHIPPEWA
City ST LOUIS
State MO
ZIP 63118
Accounting period End 12
Primary contact name DAVID GODBOUT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID GODBOUT
PRESIDENT
2109 LYNCH STREET
ST LOUIS MO 63118

Officer/Director/Trustee Two

RYAN LOWERY
SECRETARY
3407 PARK AVE APT A
ST LOUIS MO 63118

Officer/Director/Trustee Three

JENNIFER KENNISON
TREASURER
2811 WISCONSIN AVE
ST LOUIS MO 63118

Officer/Director/Trustee Four

JACK HEMBREE
BOARD MEMBER
1807 CHARLESTON ESTATES
FLORISSANT MO 63031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/16
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name DAVID GODBOUT
Signature Title PRESIDENT
Signature Date 8/29/18

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