FORM 1023-EZ for EQUILIBRIUM RANCH

Field Data
EIN 85-1596033
Case Number EO-2020181-000481
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EQUILIBRIUM RANCH
Organization’s Mailing Address 208 WILLOW PARK CT
City WENTZVILLE
State MO
ZIP 63385
Accounting period End 12
Primary contact name CHRISTIAN SHELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTIAN B SHELTON
PRESIDENT
4166 LINDELL BLVD 1B
ST. LOUIS MO 63108

Officer/Director/Trustee Two

RACHEL S MITCHELL
VICE PRESIDENT
8701 DELMAR BLVD
ST. LOUIS MO 63124

Officer/Director/Trustee Three

PATRICK STOVALL
SECRETARY
4166 LINDELL BLVD 1B
ST. LOUIS MO 63108

Officer/Director/Trustee Four

TONI WADE
DIRECTOR
4166 LINDELL BLVD
ST. LOUIS MO 63108

Officer/Director/Trustee Five

JERRAD HOLLEY
TREASURER
4166 LINDELL
ST. LOUIS MO 63108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRISTIAN B SHELTON
Signature Title PRESIDENT
Signature Date 6/26/2020

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