FORM 1023-EZ for SAM SEXUAL ASSAULT HOTLINE

Field Data
EIN 86-3076356
Case Number EO-2021228-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAM SEXUAL ASSAULT HOTLINE
Organization’s Mailing Address 2038 BARRETT STATION ROAD
City ST LOUIS
State MO
ZIP 63131
Accounting period End 12
Primary contact name GABRIELLE ARONSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GABRIELLE ARONSON
CHAIRPERSON
2038 BARRETT STATION ROAD
SAINT LOUIS MO 63131

Officer/Director/Trustee Two

ALAPI SHAH
TREASURER
1728 W MAGNOLIA LANE
MOUNT PROSPECT IL 60056

Officer/Director/Trustee Three

MIA FILIPE
VICE CHAIRMAN
1863 RIDGEWOOD CIRCL
SALINE MI 48176

Officer/Director/Trustee Four

ALEX ROLLINS
SECRETARY
7 MELODY LANE
BELLEVILLE IL 62223

Officer/Director/Trustee Five

DALLIS JOHNSON
MARKETING CHAIR
1910 WASHINGTON AVE
ST LOUIS MO 63103

Organization’s website WWW.SAMHOTLINE.COM
Organization’s email SAMSAHOTLINE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2021
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
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 GABRIELLE ARONSON
Signature Title CHAIRPERSON
Signature Date 8/13/2021

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