FORM 1023-EZ for MILDRED THIMES FOUNDATION FOR PANCREATIC CANCER

Field Data
EIN 46-1460090
Case Number EO-2016252-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILDRED THIMES FOUNDATION FOR PANCREATIC CANCER
Organization’s Mailing Address 4021 LACLEDE BOX 4511
City ST LOUIS
State MO
ZIP 63156
Accounting period End 12
Primary contact name DENISE THIMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE THIMES
PRESIDENT AND DIRECTOR
4021 LACLEDE BOX 4511
ST LOUIS MO 63156

Officer/Director/Trustee Two

KEVIN MURPHY
SECRETARY AND DIRECTOR
4540 DRYDEN AVE
ST LOUIS MO 63115

Officer/Director/Trustee Three

ASE GASSAWAY
DIRECTOR
P O BOX 20642
MACON GA 31205

Officer/Director/Trustee Four

DR LANNIS HALL
DIRECTOR
150 ENTRANCE WAY
ST PETERS MO 63376

Officer/Director/Trustee Five

DARLEAN KING
DIRECTOR
1600 EDMAR LANE
ST LOUIS MO 63138

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2012
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
One Third Support Gifts No
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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