FORM 1023-EZ for THAT PINK ROULETTE SISTERS CIRCLE OF HOPE

Field Data
EIN 81-1888296
Case Number EO-2016118-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THAT PINK ROULETTE SISTERS CIRCLE OF HOPE
Organization’s Mailing Address 9015 WORNALL
City KANSAS CITY
State MO
ZIP 64114
Accounting period End 12
Primary contact name SHERRI ROULETTE- MOSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAMI CLARK
PRESIDENT
17293 SLIGO LOOP
DUMFRIES VA 22026

Officer/Director/Trustee Two

GENEVA ABEL
TREASURER
11455 OAK APT 101
KANSAS CITY MO 64114

Officer/Director/Trustee Three

DONETTE COLEMAN
SECRETARY
7614 RAVENSRIDGE
ST LOUIS MO 63113

Officer/Director/Trustee Four

BROOKLYNNE ROULETTE-MOSLEY
VICE PRESIDENT
1021 RHODE ISLAND APT 6
LAWRENCE KS 66044

Officer/Director/Trustee Five

SHERRI ROULETTE-MOSLEY
DIRECTOR
9015 WORNALL
KANSAS CITY MO 64114

Organization’s website
Organization’s email THATPINK@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 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
Signature Title
Signature Date

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