FORM 1023-EZ for FIRESIDE180 INC

Field Data
EIN 85-4004446
Case Number EO-2021081-000674
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRESIDE180 INC
Organization’s Mailing Address 2323 W JOHNSTON STREET
City OLATHE
State KS
ZIP 66061-6865
Accounting period End 12
Primary contact name DENNIS J UECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNY KOPTA
PRESIDENT
2323 W JOHNSTON STREET
OLATHE KS 66061-6865

Officer/Director/Trustee Two

ISAAC CRABTREE
DIRECTOR
12422 S DUNRAVEN STREET
OLATHE KS 66061-7855

Officer/Director/Trustee Three

JEFF JONES
DIRECTOR
10510 S QUAIL RIDGE DRIVE
OLATHE KS 66061-2778

Officer/Director/Trustee Four

DAN SOUTHERLAND
DIRECTOR
5317 AMINDA STREET
SHAWNEE KS 66226-2628

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/2020
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 KENNY KOPTA
Signature Title PRESIDENT
Signature Date 1/28/2021

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