FORM 1023-EZ for AGILE MIDWEST INC

Field Data
EIN 82-1084317
Case Number EO-2017101-000151
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AGILE MIDWEST INC
Organization’s Mailing Address 2816 HIGH POINT ROAD
City OWENSVILLE
State MO
ZIP 65066-3702
Accounting period End 12
Primary contact name KATHI PAQUET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRY BAVRIL
PRESIDENT
14356 WHITE BIRCH VALLEY LANE
CHESTERFIELD MO 63017

Officer/Director/Trustee Two

JOE ZIADEH
TREASURER
24 PARK PLACE
ST. PETERS MO 63017

Officer/Director/Trustee Three

KATHI PAQUET
SECRETARY
2816 HIGH POINT ROAD
OWENSVILLE MO 65066-3702

Organization’s website WWW.AGILEMIDWEST.ORG
Organization’s email AGILEMIDWEST@AGILEMIDWEST.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2017
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: Yes
Religious: No
Educational: Yes
Scientific: Yes
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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