FORM 1023-EZ for AMENA INC

Field Data
EIN 46-1524796
Case Number EO-2016060-000070
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMENA INC
Organization’s Mailing Address 4760 TREES EDGE LANE
City FLORISSANT
State MO
ZIP 63033-4574
Accounting period End 12
Primary contact name VEOLA DAVIS PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VEOLA DAVIS
PRESIDENT
4760 TREES EDGE LANE
FLORISSANT MO 63033-4574

Officer/Director/Trustee Two

MERVIN DAVIS
TREASURER.
4760 TREES EDGE LANE
FLORISSANT MO 63033-4574

Officer/Director/Trustee Three

DEMETRA HARDIMAN
SECRETARY
9911 NORTHAMPTON
ST. LOUIS MO 63137-1410

Officer/Director/Trustee Four

SHANISA HARROLD
BOARD OF DIRECTORS
4760 TREES EDGE LANE
FLORISSANT MO 63033-4574

Officer/Director/Trustee Five

GARY HARDIMAN
BOARD OF DIRECTORS
9911 NORTHAMPTON
ST. LOUIS MO 63137-1410

Organization’s website N/A
Organization’s email AMEN_A@SBCGLOBAL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2012
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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