FORM 1023-EZ for MO KAN GIRLS HOCKEY FOUNDATION

Field Data
EIN 85-3264986
Case Number EO-2020300-000666
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MO KAN GIRLS HOCKEY FOUNDATION
Organization’s Mailing Address 17 TIMBER CREEK CIRCLE
City PLATTE CITY
State MO
ZIP 64079
Accounting period End 12
Primary contact name PATRICK CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK CLARK
PRESIDENT
17 TIMBER CREEK CIRCLE
PLATTE CITY MO 64079

Officer/Director/Trustee Two

JULIE CLARK
VICE PRESIDENT
17 TIMBER CREEK CICLE
PLATTE CITY MO 64079

Officer/Director/Trustee Three

DEBRA CORR
SECRETARY
1687 CANDLEGLOW ST
CASTLE ROCK CO 80109

Officer/Director/Trustee Four

TRACEY LEWIS
TREASURER
1256 W 59TH ST
KANSAS CITY MO 64113

Officer/Director/Trustee Five

APRIL WYATT
MEMBER
2500 SOUTHWEST PRKY
ST JOSEPH MO 64503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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 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 JULIE CLARK
Signature Title VICE PRESIDENT
Signature Date 10/23/2020

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