FORM 1023-EZ for SUICIDE PREVENTION COALITION OF THEOZARKS

Field Data
EIN 85-1938545
Case Number EO-2020198-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUICIDE PREVENTION COALITION OF THEOZARKS
Organization’s Mailing Address 330 N JEFFERSON AVE
City SPRINGFIELD
State MO
ZIP 65806-1130
Accounting period End 6
Primary contact name NICK CLINTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS CLINTON-ELLIOTT
OFFICER
330 N JEFFERSON AVE
SPRINGFIELD MO 65806-1130

Officer/Director/Trustee Two

RHONDA LESLIE
DIRECTOR
330 N JEFFERSON AVE
SPRINGFIELD MO 65806-1130

Officer/Director/Trustee Three

ROBIN HORTON
OFFICER
330 N JEFFERSON AVE
SPRINGFIELD MO 65806-1130

Officer/Director/Trustee Four

CHIARA CITTERIO
OFFICER
330 N JEFFERSON AVE
SPRINGFIELD MO 65806-1130

Officer/Director/Trustee Five

SHANNON TILLEY
OFFICER
330 N JEFFERSON AVE
SPRINGFIELD MO 65806-1130

Organization’s website
Organization’s email RHONDALESLEY@MISSOURISTATE.EDU
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2013
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 Yes
Correctness Declaration Yes
Signature Name NICHOLAS CLINTON-ELLIOTT
Signature Title OFFICER
Signature Date 7/14/2020

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