FORM 1023-EZ for SINGLE MOTHERS AFFORDABLE RESIDENCETEAM

Field Data
EIN 82-5287478
Case Number EO-2019073-000429
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SINGLE MOTHERS AFFORDABLE RESIDENCETEAM
Organization’s Mailing Address 401 PYRENESS DRIVE
City COLUMBIA
State MO
ZIP 65203-153
Accounting period End 12
Primary contact name MACIE PETERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARRETT MIXON
SECRETARY
401 PYRENEES DRIVE
COLUMBIA MO 65203-153

Officer/Director/Trustee Two

MACIE PETERMAN
PRESIDENT
401 PYRENEES DRIVE
COLUMBIA MO 65203-153

Officer/Director/Trustee Three

DAVID RAILTON
TREASURER
4609 WEST MILBROOK DRIVE APT B
COLUMBIA MO 65203-5332

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P42 - Single Parent Agencies, 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 MACIE PETERMAN
Signature Title PRESIDENT
Signature Date 3/12/19

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