FORM 1023-EZ for KANSAS CITY AREA GROTTO

Field Data
EIN 81-4862943
Case Number EO-2018169-000734
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KANSAS CITY AREA GROTTO
Organization’s Mailing Address 205 NE 74TH STREET
City GLADSTONE
State MO
ZIP 64118
Accounting period End 12
Primary contact name KRISTEN GODFREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIRGINIA WALENTA
PRESIDENT
205 NE 74TH STREET
GLADSTONE MO 64118

Officer/Director/Trustee Two

JACK PETERS
VICE PRESIDENT
1920 N 50TH TER
KANSAS CITY KS 66102

Officer/Director/Trustee Three

BILL GEE
TREASURER
701 NORTH WALNUT STREET
OLATHE KS 66061

Officer/Director/Trustee Four

JAURA JAYNES
SECRETARY
1620 S NORTHERN BLVD
INDEPENDENCE MO 64052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: No
Religious: No
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 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 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 VIRGINIA WALENTA
Signature Title PRESIDENT
Signature Date 6/15/18

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