| Field | Data |
|---|---|
| EIN | 82-5257146 |
| Case Number | EO-2018288-000327 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MISSOURI COLLABORATIVE INSTITUTE |
| Organization’s Mailing Address | 120 S CENTRAL AVENUE SUITE 450 |
| City | CLAYTON |
| State | MO |
| ZIP | 63105 |
| Accounting period End | 12 |
| Primary contact name | KELLY M DAVIDZUK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KIRK STANGE
PRESIDENT
120 S CENTRAL AVENUE SUITE 450
CLAYTON MO 63105
JOHN KERSHMAN
DIRECTOR
120 S CENTRAL AVENUE SUITE 450
CLAYTON MO 63105
KELLY DAVIDZUK
TREASURER
120 S CENTRAL AVENUE SUITE 450
CLAYTON MO 63105
CARLA ZOLMAN
VICE PRESIDENT
10805 SUNSET OFFICE DRIVE
ST LOUIS MO 63127
SANDRA SHACHAR
SECRETARY
225 S MERAMEC SUITE 432T
ST LOUIS MO 63105
| Organization’s website | MISSOURICOLLABORATIVEINSTITUTE.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/22/17 |
| Organization Incorporation State | MO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: No 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 | KELLY DAVIDZUK |
| Signature Title | TREASURER |
| Signature Date | 10/11/18 |
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