FORM 1023-EZ for ST CHARLES MOOSE LODGE 1513 LOYAL ORDER OF MOOSE

Field Data
EIN 43-0384440
Case Number EO-2015140-000376
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST CHARLES MOOSE LODGE 1513 LOYAL ORDER OF MOOSE
Organization’s Mailing Address 2705 VETERANS MEMORIAL PARKWAY
City ST CHARLES
State MO
ZIP 63303
Accounting period End 5
Primary contact name KEN CROWDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVE FOUST
PRES
909 MCDONOUGH ST
ST CHARLES MO 63301

Officer/Director/Trustee Two

LYN DURBIN
SEC
514 MERRIBROOK LN
OFALLON MO 63366

Officer/Director/Trustee Three

KENNETH CROWDER
ADVISORY BOARD
2640 HACKMANN RD
ST CHARLES MO 63303

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/1934
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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