FORM 1023-EZ for HEALTH INFORMATION STATION

Field Data
EIN 83-2675348
Case Number EO-2019067-000457
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTH INFORMATION STATION
Organization’s Mailing Address 3848 SALIDA CT
City FLORISSANT
State MO
ZIP 63034
Accounting period End 12
Primary contact name JEANETTA STOMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANETTA STOMER
PRESIDENT
3848 SALIDA CT
FLORISSANT MO 63034

Officer/Director/Trustee Two

ERICA MAYWEATHER
SECRETARY
3848 SALIDA CT
FLORISSANT MO 63034

Officer/Director/Trustee Three

LEEANN SUMMERS
MEMBER
3848 SALIDA CT
FLORISSANT MO 63034

Organization’s website
Organization’s email NP@NPHEALTHINFORMATIONSTATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEANETTA STOMER
Signature Title PRESIDENT
Signature Date 3/6/19

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