FORM 1023-EZ for ALTRUSA INTERNATIONAL INC OF DEXTERMISSOURI FOUNDATION

Field Data
EIN 84-5062613
Case Number EO-2020090-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALTRUSA INTERNATIONAL INC OF DEXTERMISSOURI FOUNDATION
Organization’s Mailing Address 205 W BUSINESS HWY 60 PMB 50
City DEXTER
State MO
ZIP 63841
Accounting period End 5
Primary contact name TERRI L CHEEMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYRA TAYLOR
DIRECTOR
304 S ONE MILE ROAD
DEXTER MO 63841

Officer/Director/Trustee Two

SUE SCHUMER
DIRECTOR
CR 524
PARMA MO 63870

Officer/Director/Trustee Three

TAMMY ROBINSON
DIRECTOR
11437 MAGNOLIA DRIVE
DEXTER MO 63841

Officer/Director/Trustee Four

ADENA BALDWIN
DIRECTOR
PO BOX 128
ESSEX MO 63846

Officer/Director/Trustee Five

KATHY WHITE
DIRECTOR
PO BOX 396
DEXTER MO 63841

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 KATHY WHITE
Signature Title DIRECTOR
Signature Date 3/27/2020

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