FORM 1023-EZ for HEART OF THE BEAR GROVE

Field Data
EIN 82-1848886
Case Number EO-2017177-000068
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART OF THE BEAR GROVE
Organization’s Mailing Address 503 NORTH ROGERS ST
City INDEPENDENCE
State MO
ZIP 64050
Accounting period End 1
Primary contact name ANGELA M KROUT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA KROUT
PRESIDENT
503 NORTH ROGERS STREET
INDEPENDENCE MO 64050

Officer/Director/Trustee Two

CATHERINE BOESE
SECRETARY
1012 RIDGEWAY DR
LIBERTY MO 64068

Officer/Director/Trustee Three

DYLAN ROUSSEL
VICE PRESIDENT
318 S MAIN ST
INDEPENDENCE MO 64050

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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
Signature Title
Signature Date

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