FORM 1023-EZ for BLAZE STL

Field Data
EIN 83-2819174
Case Number EO-2019028-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLAZE STL
Organization’s Mailing Address 817 CHARLESGATE DR
City OLIVETTE
State MO
ZIP 63132
Accounting period End 12
Primary contact name ROBERT MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT MILLER
PRESIDENT
817 CHARLESGATE DRIVE
OLIVETTE MO 63132

Officer/Director/Trustee Two

COLLEEN MILLER
TREASURER
817 CHARLESGATE DR
OLIVETTE MO 63132

Officer/Director/Trustee Three

RHEA MAY
VICE PRESIDENT
1549 GOLDEN GATE DRIVE
GOLDEN CO 80403

Officer/Director/Trustee Four

CHARLES CANTRELL
SECRETARY
1411 ELDORADO DRIVE
ST PETERS MO 63376

Officer/Director/Trustee Five

JENNA SPURLACK
ASSISTANT TREASURER
7338 BALSON AVE
UNIVERSITY CITY MO 63130

Organization’s website WWW.BLAZESTL.ORG
Organization’s email INFO@BLAZESTL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
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 ROBERT MILLER
Signature Title PRESIDENT
Signature Date 12/13/18

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