FORM 1023-EZ for MISSOURI MEMORIAL FOR THE UNBORN INC

Field Data
EIN 47-5237693
Case Number EO-2015286-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSOURI MEMORIAL FOR THE UNBORN INC
Organization’s Mailing Address 1200 MYRTLE AVE APT 1
City JEFFERSON CITY
State MO
ZIP 65101
Accounting period End 12
Primary contact name NATHAN NICKOLAUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAN KRAUSE
PRESIDENT
1200 MYRTLE AVE APT 1
JEFFERSON CITY MO 65101

Officer/Director/Trustee Two

KALEN THOMPSON
DIRECTOR
1528 PURYEAR PLACE
BRENTWOOD TN 37027

Officer/Director/Trustee Three

CAROL OTTO
DIRECTOR
207 LANDWEHR DR
JEFFERSON CITY MO 65101

Officer/Director/Trustee Four

VICTORIA CHILDS
DIRECTOR
2015 WINDVALLEY CT
JEFFERSON CITY MO 65101

Officer/Director/Trustee Five

NATHAN NICKOLAUS
OFFICER
1500 ROSEWOOD
JEFFERSON CITY MO 65101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R62 - Right to Life
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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