FORM 1023-EZ for TOM SHAW FOUNDATION

Field Data
EIN 84-5036205
Case Number EO-2021099-001077
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOM SHAW FOUNDATION
Organization’s Mailing Address 14 BON AIRE DRIVE
City OLIVETTE
State MO
ZIP 63132-4301
Accounting period End 12
Primary contact name GARY M HOLLINGSWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBBIE FRANKE
PRESIDENT
1520 FROESEL DR
ELLISVILLE MO 63011-2018

Officer/Director/Trustee Two

GARY HOLLINGSWORTH
TREASURER
14 BON AIRE DRIVE
OLIVETTE MO 63132-4301

Officer/Director/Trustee Three

SHARON HUBER
CHAIR PERSON
1703 SHILOH RIDGE
CHESTERFIELD MO 63005-8409

Officer/Director/Trustee Four

JANE STANIFORTH
SECRETARY
19 WHEETLEY CT
CHESTERFIELD MO 63005-4555

Officer/Director/Trustee Five

PATRICK FLYNN
DIRECTOR
2106 BRASSEL CT
O'FALLON MO 63368-7159

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 GARY HOLLINGSWORTH
Signature Title TREASURER
Signature Date 3/18/2021

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