FORM 1023-EZ for XAVIER GOLF COMPANY

Field Data
EIN 86-1939008
Case Number EO-2021132-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name XAVIER GOLF COMPANY
Organization’s Mailing Address 6471 WESTWAY ROAD
City SAINT LOUIS
State MO
ZIP 63109
Accounting period End 12
Primary contact name ANGELA BELLON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS BELLON
PRESIDENT
6471 WESTWAY ROAD
ST. LOUIS MO 63109

Officer/Director/Trustee Two

CHRISTOPHER BELLON
TREASURER
4650 HAMPTON AVENUE
SAINT LOUIS MO 63109

Officer/Director/Trustee Three

ANGELA BELLON
CHAIRPERSON
6471 WESTWAY ROAD
SAINT LOUIS MO 63109

Organization’s website NOT APPLICABLE
Organization’s email ANGIEBELLON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2021
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N6A - Golf
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 ANGELA BELLON
Signature Title CHAIRPERSON
Signature Date 5/10/2021

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