FORM 1023-EZ for CLIENT X INITIATIVE

Field Data
EIN 83-2286757
Case Number EO-2021173-000163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLIENT X INITIATIVE
Organization’s Mailing Address 3259 HYATT COURT
City SAINT PETERS
State MO
ZIP 63303
Accounting period End 10
Primary contact name GERIES SHAHEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERIES SHAHEEN
EXECUTIVE DIRECTOR
3259 HYATT COURT
SAINT PETERS MO 63303

Organization’s website
Organization’s email CLIENTXINITIATIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2018
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GERIES SHAHEEN
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/20/2021
EIN 83-2286757
Case Number EO-2019042-000154
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLIENT X INITIATIVE
Organization’s Mailing Address 3259 HYATT COURT
City SAINT PETERS
State MO
ZIP 63303-5827
Accounting period End 10
Primary contact name GERIES SHAHEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERIES SHAHEEN
DIRECTOR
3259 HYATT COURT
SAINT PETERS MO 63303-5827

Officer/Director/Trustee Two

AMANDA SHAHEEN
OFFICER
3259 HYATT COURT
ST. PETERS MO 63303

Officer/Director/Trustee Three

ALYSSA HILBURN
OFFICER
550 MORGAN STREET
SAINT CHARLES MO 63301-1964

Organization’s website
Organization’s email CLIENTXINITIATIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 Yes
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 Yes
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 GERIES SHAHEEN
Signature Title DIRECTOR
Signature Date 2/7/19

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