Jason Kander Secretary of State
2016-2017 BIENNIAL REGISTRATION REPORT

NONPROFIT

ELECT TO FILE A BIENNIAL REGISTRATION REPORT

#3
SECTION 1, 3 4 ARE REQUIRED

 

 

 

 

Missouri Secretary of State

N000696430
Date Filed: 7/22/2016
Jason Kander

 

 

 

REPORT DUE BY: 8 31 2016

 

 

 

N000696430

5 game changers charity fund

ORGANIZED UNDER THE LAWS OF:

Missouri

 

 

EDWARD ROBINSON
721 DUNN ROAD
HAZELWOOD MO 63042

 

PRINCIPAL PLACE OF BUSINESS 0R CORPORATE HEADQUARTERS:



721 Dunn Road

(Required)

 

 

 

STREET
hazelwood MO 63042
CITY STATE ZIP

 

 

The new registered agent

If changing the registered agent and/or registered office address, please check the appropriate box(es) and fill in the necessary information.

 

IF CHANGING THE REGISTERED AGENT, AN ORIGINAL WRITTEN CONSENT FROM THE NEW

 

 

 

 

 

 

 

2 REGISTERED AGENT MUST BE ATTACHED AND FILED WITH THIS REGISTRATION REPORT.
The new registered office address
Must be a Missouri address, PO Box alone is not acceptable. This section is not applicable for Banks, Trusts and Foreign Insurance.
OFFICERS BOARD OF DIRECTORS 
NAME AND PHYSICAL ADDRESS (PO. BOX ALONE NOT NAME AND PHYSICAL ADDRESS (PO. BOX ALONE NOT ACCEPTABLE).
ACCEPTABLE). MUST LIST PRESIDENT AND SECRETARY BELOW A MUST LIST AT LEAST THREE DIRECTORS BELOW 
PRESIDENT jones, gary pearson, Vance
STREET 721 Dunn raod STREET 721 dunn road
hazelwood MO 63042 hazelwood MO 63042
SECRETARY Lee, Bruce jones, Gary
STREET 721 dunn road STREET 721 dunn road
3 hazelwood MO 63042 hazelwood MO 63042
CHAIRMAN jones, gary lee, bruce
STREET 721 Dunn raod STREET 721 dunn road
hazelwood MO 63042 haazelwood MO 63042
robinson, edward
STREET STREET 721 dun" mad
hazelwood MO 63042

 

 

 

 

 

 

 

NAMES AND ADDRESSES OF ALL OTHER OFFICERS AND DIRECTORS ARE ATTACHED

 

 

The undersigned understands that false statements made in this report are punishable for the crime of making a false 
declaration under Section 576.060 Photocopy or stamped signature not acceptable.

 

 

4 Authorized party or officer sign here gary jones (Required)
Please print name and title of signer: gary jones Director
NAME TITLE

 

 

 

REGISTRATION REPORT FEE IS:
_$20.00 If filed on or before 8/31/2016
_525.00 If filed after 9/30/2015

Corporation will be administratively dissolved if report is not filed by
11/29/2018

 

 

 

WHEN THIS FORM IS ACCEPTED BY THE SECRETARY OF STATE, BY LAW
IT WILL BECOME A PUBLIC DOCUMENT AND ALL INFORMATION
PROVIDED IS SUBJECT TO PUBLIC DISCLOSURE

ADDRESS (OPTIONAL):

 

 

REQUIRED INFORMATION MUST BE COMPLETE OR THE REGISTRATION REPORT WILL BE REJECTED
RETURN COMPLETED REGISTRATION REPORT AND PAYMENT TO: Secretary of State, P.O. Box 1355, Jefferson City, MO 55102