FORM 1023-EZ for THE COACH PJ FOUNDATION INC

Field Data
EIN 82-3062879
Case Number EO-2018019-000310
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE COACH PJ FOUNDATION INC
Organization’s Mailing Address 653 E MADISON AVE
City KIRKWOOD
State MO
ZIP 63122
Accounting period End 12
Primary contact name VICKI BALLENGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICKI BALLENGER
PRESIDENT/DIRECTOR
653 E MADISON AVE
KIRKWOOD MO 63122

Officer/Director/Trustee Two

SHANTEL BOWERS
SECRETARY/DIRECTOR
653 E MADISON AVE
KIRKWOOD MO 63122

Officer/Director/Trustee Three

JEAN JONES ROBERT
TREASURER/DIRECTOR
653 E MADISON AVE
KIRKWOOD MO 63122

Officer/Director/Trustee Four

JEFF BRANSON
DIRECTOR
653 E MADISON AVE
KIRKWOOD MO 63122

Officer/Director/Trustee Five

DONTA BARBEE
DIRECTOR
653 E MADISON AVE
KIRKWOOD MO 63122

Organization’s website
Organization’s email VICKIJ129@SBCGLOBAL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/17
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 VICKI BALLENGER
Signature Title PRESIDENT/DIRECTOR
Signature Date 1/17/18

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