FORM 1023-EZ for SHAW NEIGHBORHOOD ORGANIZATION MODEL

Field Data
EIN 83-2587855
Case Number EO-2018340-000563
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHAW NEIGHBORHOOD ORGANIZATION MODEL
Organization’s Mailing Address PO BOX 15031
City SAINT LOUIS
State MO
ZIP 63110-3832
Accounting period End 12
Primary contact name DANIEL POWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL POWELL
PRESIDENT
4023 RUSSELL BLVD
SAINT LOUIS MO 63110-3609

Officer/Director/Trustee Two

CRAIG EVANS
VICE-PRESIDENT
3846 BOTANICAL
SAINT LOUIS MO 63110-4004

Officer/Director/Trustee Three

GAIL KEELIN
TREASURER
4034 MAGNOLIA PLACE
SAINT LOUIS MO 63110-3915

Officer/Director/Trustee Four

DENISE EVANS
SECRETARY
3846 BOTANICAL
SAINT LOUIS MO 63110-4004

Officer/Director/Trustee Five

KIMBERLY MCGRATH
BOARD OF DIRECTOR
4023 RUSSELL BLVD
SAINT LOUIS MO 63110-3609

Organization’s website
Organization’s email SHAW.STL.NOM@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 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 DANIEL POWELL
Signature Title PRESIDENT
Signature Date 12/4/18

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