FORM 1023-EZ for BELIEVE MEMORIAL FOUNDATION

Field Data
EIN 83-3339408
Case Number EO-2020199-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELIEVE MEMORIAL FOUNDATION
Organization’s Mailing Address 606 W STATE ST
City O FALLON
State IL
ZIP 62269-1907
Accounting period End 12
Primary contact name JASON RUST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON RUST
CEO/CFO
606 W STATE ST
O FALLON IL 62269-1907

Officer/Director/Trustee Two

JONATHAN RUST
COO
606 W STATE ST
O FALLON IL 62269-1907

Officer/Director/Trustee Three

SANDRA RUST
SECRETARY
606 W STATE ST
O FALLON IL 62269-1907

Officer/Director/Trustee Four

SHELLEY COOK
OFFICER
606 W STATE ST
O FALLON IL 62269-1907

Officer/Director/Trustee Five

JULIA BIGGS
OFFICER
606 W STATE ST
O FALLON IL 62269-1907

Organization’s website BELIEVEMEMORIALFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
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 Yes
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 JASON RUST
Signature Title CEO/CFO
Signature Date 7/15/2020

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