FORM 1023-EZ for SENIOR SUPPORT AND RESOURCE AGENCY

Field Data
EIN 82-1266990
Case Number EO-2017114-000333
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SENIOR SUPPORT AND RESOURCE AGENCY
Organization’s Mailing Address 2200 WEST PORT PLAZA DRIVE SUITE 22
City SAINT LOUIS
State MO
ZIP 63146-3211
Accounting period End 12
Primary contact name GAYLARD WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BERNADETTE BROWN
CHIEF EXECUTIVE OFFICER
2200 WEST PORT PLAZA DR STE 220
SAINT LOUIS MO 63146-3211

Officer/Director/Trustee Two

ZACK BROWN
CHAIR
2200 WEST PORT PLAZA DR STE 220
SAINT LOUIS MO 63146-3211

Officer/Director/Trustee Three

GAYLARD WILLIAMS
SECRETARY
2200 WEST PORT PLAZA DR STE 220
SAINT LOUIS MO 63146-3211

Officer/Director/Trustee Four

PAUL SHANNON
TREASURER
943 PARK AVENUE
SAINT LOUIS MO 63104-3718

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 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
Signature Title
Signature Date

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