FORM 1023-EZ for LIVING IN ACTION INC - A MO NONPROFIT CORPORATION

Field Data
EIN 84-1913498
Case Number EO-2019284-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING IN ACTION INC - A MO NONPROFIT CORPORATION
Organization’s Mailing Address 639 GRAVOIS BLUFFS BLVD
City FENTON
State MO
ZIP 63026
Accounting period End 12
Primary contact name MARK F MUELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE SULZE
EXEC DIR MEMBER & BOARD MEMBER
639 GRAVOIS BLUFFS BLVD
FENTON MO 63026

Officer/Director/Trustee Two

JERRY SCHULTZ
BOARD MEMBER & ATTORNEY
1945 LASSO CIRCLE
COLUMBIA MO 65201

Officer/Director/Trustee Three

TRENTON CAMPBELL
BOARD MEMBER & SECRETARY
201 VILLA CREEK COURT
BALLWIN MO 63021

Officer/Director/Trustee Four

STACEY GASTREICH
TREASURER
1562 IRISH SEA
HIGH RIDGE MO 63049

Officer/Director/Trustee Five

MARK MUELLER
OFFICER
1123 BOLAND PLACE
ST LOUIS MO 63117

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 MARK MUELLER
Signature Title OFFICER
Signature Date 10/7/19

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