FORM 1023-EZ for PEACEFUL REGIONS

Field Data
EIN 84-3246388
Case Number EO-2019280-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEACEFUL REGIONS
Organization’s Mailing Address 3114 CHIPPEWA STREET
City SAINT LOUIS
State MO
ZIP 63118
Accounting period End 12
Primary contact name JAMIE SUE HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE HENDERSON
PRESIDENT
3114 CHIPPEWA STREET
SAINT LOUIS MO 63118

Officer/Director/Trustee Two

BAREY JONES
TREASURER
1532 TIFFANY CT APT 1
PEORIA IL 61614

Officer/Director/Trustee Three

DAKOTA FOSTER
SECRETARY
8216 FREDERICK ST
SAINT LOUIS MO 63118

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BAREY JONES
Signature Title TREASURER
Signature Date 10/3/19

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