FORM 1023-EZ for STLQS

Field Data
EIN 85-0537037
Case Number EO-2021111-000425
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STLQS
Organization’s Mailing Address 3317 OREGON AVE
City SAINT LOUIS
State MO
ZIP 63118-3005
Accounting period End 12
Primary contact name JACOB WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB WALKER
STRATEGY FACILITATOR
3317 OREGON AVE
SAINT LOUIS MO 63118-3005

Officer/Director/Trustee Two

BRENDAN ZIEBARTH
CAPACITY FACILITATOR
5432 COLOGNE AVE
SAINT LOUIS MO 63116-1255

Officer/Director/Trustee Three

JAMIE MOFFA
OPERATIONS FACILITATOR
4444 WEST PINE BLVD APT 117
SAINT LOUIS MO 63108-2347

Organization’s website WWW.STLOUISQUARANTINESUPPORT.ORG
Organization’s email STLQUARANTINE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 Yes
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 JAMIE MOFFA
Signature Title OPERATIONS FACILITATOR
Signature Date 4/20/2021

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