FORM 1023-EZ for KINLOCH HISTORICAL ASSOCIATION

Field Data
EIN 83-4382840
Case Number EO-2019312-000117
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINLOCH HISTORICAL ASSOCIATION
Organization’s Mailing Address PO BOX 2174
City FLORISSANT
State MO
ZIP 63032
Accounting period End 6
Primary contact name BRENDA NOAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BERNICE FORTUNE
PRESIDENT
9600 HALLS FERRY RD APT 321
ST LOUIS MO 63136

Officer/Director/Trustee Two

SHIRLEY SIMMONS
VICE PRESIDENT
1642 SUMMER RUN DR UNIT 12
FLORISSAN MO 63033

Officer/Director/Trustee Three

FANNIE POWELL-DAVIS
TREASURER
333 WARD
ST LOUIS MO 63136

Officer/Director/Trustee Four

BRENDA NOAH
SECRETARY
PO BOX 2604
FLORISSANT MO 63032

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 BRENDA NOAH
Signature Title SECRETARY
Signature Date 11/6/19

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