FORM 1023-EZ for THE EXCELSIOR PROGRAM
| Field | Data |
|---|---|
| EIN | 82-3053750 |
| Case Number | EO-2018045-000089 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE EXCELSIOR PROGRAM |
| Organization’s Mailing Address | 3729 OAK HILL AVE |
| City | ST. LOUIS |
| State | MO |
| ZIP | 63116-3610 |
| Accounting period End | 12 |
| Primary contact name | SHANNON PETERS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
NATE OATIS
PRESIDENT AND DIRECTOR
3729 OAK HILL AVE
ST. LOUIS MO 63116-3610
Officer/Director/Trustee Two
CHAUNCEY NELSON
TREASURER AND CHAIRPERSON
4855 FOUNTAIN AVE 1F
ST. LOUIS MO 63113-2029
Officer/Director/Trustee Three
HEATHER OATIS
VICE PRESIDENT AND DIRECTOR
3729 OAK HILL AVE
ST. LOUIS MO 63116-3610
Officer/Director/Trustee Four
JENNIFER MOSSGRABER
SECRETARY AND DIRECTOR
2023 SOUTH 8TH STREET UNIT A
ST. LOUIS MO 63104-4062
Officer/Director/Trustee Five
MARIO MILLSAP
MARTIAL ARTS LIASION AND DIRECTOR
429 SCHWARZ RD
O'FALLON IL 62269-6713
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/18/17 |
| Organization Incorporation State | MO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O99 - Youth Development N.E.C. |
| Organization’s purpose | Charitable: No 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 | Yes |
| 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 | NATE OATIS |
| Signature Title | PRESIDENT AND DIRECTOR |
| Signature Date | 2/12/18 |
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