FORM 1023-EZ for DONATE LIFE 4 KIDS FOUNDATION

Field Data
EIN 85-0556729
Case Number EO-2020132-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DONATE LIFE 4 KIDS FOUNDATION
Organization’s Mailing Address 975 LOCHMOOR DRIVE
City HIGH RIDGE
State MO
ZIP 63049
Accounting period End 12
Primary contact name MARK F MUELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL SVOBODA
EXEC. DIR., BOARD MEMBER
975 LOCHMOOR DRIVE
HIGH RIDGE MO 63049

Officer/Director/Trustee Two

RONALD KOSEDNAR
TREASURER, BOARD MEMBER
1049 CAMBRIDGE WAY DRIVE
SAINT LOUIS MO 63017

Officer/Director/Trustee Three

KIMBERLY KOSEDNAR
SECRETARY, BOARD MEMBER
16 TREECREST LANE
FENTON MO 63026

Officer/Director/Trustee Four

MARILYN SVOBODA
BOARD MEMBER
975 LOCHMOOR DRIVE
HIGH RIDGE MO 63049

Officer/Director/Trustee Five

MARK MUELLER
ATTORNEY
1123 BOLAND PLACE
SAINT LOUIS MO 63117

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G98 - Pediatrics
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 Yes
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 MARK MUELLER
Signature Title ATTORNEY
Signature Date 5/7/2020

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