FORM 1023-EZ for URBAN 21

Field Data
EIN 82-4221191
Case Number EO-2019087-000416
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name URBAN 21
Organization’s Mailing Address 4730 MARGARETTA
City SAINT LOUIS
State MO
ZIP 63115
Accounting period End 11
Primary contact name TIMOTHY ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MALERIE BRENSTON
SECRETARY
4504 MINNESOTA AVE
SAINT LOUIS MO 63111

Officer/Director/Trustee Two

CHARLES HALE
OFFICER
1607 WESTPORT COVE IN APT J
SAINT LOUIS MO 63146

Officer/Director/Trustee Three

TIMOTHY ANDERSON
PRESIDENT
4406 HOLLY
SAINT LOUIS MO 63115

Officer/Director/Trustee Four

JARED PLEASANT
OFFICER
5410 RUSKIN
SAINT LOUIS MO 63115

Officer/Director/Trustee Five

DERRICK PENNY
TREASURER
5728 ASTRA AVE
SAINT LOUIS MO 63147

Organization’s website HTTP://WWW.URBAN21STL.ORG/
Organization’s email INFO@URBAN21STL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/17
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 MALERIE BRENSTON
Signature Title SECRETARY
Signature Date 3/26/19

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