FORM 1023-EZ for ST LOUIS CELEBRITY SENIORS INC

Field Data
EIN 36-4798241
Case Number EO-2015035-000382
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST LOUIS CELEBRITY SENIORS INC
Organization’s Mailing Address PO BOX 4113
City S
State MO
ZIP 63136-0713
Accounting period End 12
Primary contact name VERNELL J SAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VERNELL J SAMS
PRESIDENT
10761 LANDSEER DR
ST LOUIS MO 63136-4503

Officer/Director/Trustee Two

GRACE JAMES
VICE PRESIDENT
701 WALTON AVE
ST LOUIS MO 63108-1743

Officer/Director/Trustee Three

ROBERT REMBERT
TREASURER
PO BOX 4501
ST LOUIS MO 63108-1743

Officer/Director/Trustee Four

FREDDIE MC CADNEY
RECORDING CORRESPONDING SECRETARY
5629 BERMUDA ROAD
ST LOUIS MO 63121-1404

Officer/Director/Trustee Five

ALICE COOKSEY
FINANCIAL SECRETARY
1473 KINGSFORD DR
ST LOUIS MO 63031-2422

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2014
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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