FORM 1023-EZ for SAFER WATERS IN MEMORY - OF NICHOLAS

Field Data
EIN 83-4306115
Case Number EO-2019164-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFER WATERS IN MEMORY - OF NICHOLAS
Organization’s Mailing Address 7 FORDYCE LANE
City ST LOUIS
State MO
ZIP 63124-1354
Accounting period End 12
Primary contact name LISA MCMULLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA MCMULLIN
PRESIDENT & DIRECOTR
7 FORDYCE LANE
ST. LOUIS MO 63124

Officer/Director/Trustee Two

EMILY WUJCIK
VICE PRESIDENT & DIRECTOR
3639 LACLEDE
ST. LOUIS MO 63108

Officer/Director/Trustee Three

KYLE HENKE
SECRETARY & DIRECTOR
111 SOUTH GEYER ROAD
KIRKWOOD MO 63122

Officer/Director/Trustee Four

KIMBALL MCMULLIN
TREASURER & DIRECTOR
7 FORDYCE LANE
ST. LOUIS MO 63124

Officer/Director/Trustee Five

STEPHE MCCORMICK
DIRECTOR
625 NORTH EUCLID
ST. LOUIS MO 63108

Organization’s website WWW.SWIMONFOUNDATION.ORG
Organization’s email INFO@SWIMONFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 LISA MCMULLIN
Signature Title PRESIDENT & DIRECOTR
Signature Date 6/11/19

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