FORM 1023-EZ for CREATING HEALTHY AND POSITIVE SOLUTIONS CHAPS

Field Data
EIN 46-5279579
Case Number EO-2014328-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREATING HEALTHY AND POSITIVE SOLUTIONS CHAPS
Organization’s Mailing Address 12919 S AL GOSSETT RD
City LONE JACK
State MO
ZIP 64070-9223
Accounting period End 12
Primary contact name CHERYL HELTZEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHERYL HELTZEL
PRESIDENT
12919 S AL GOSSETT RD
LONE JACK MO 64070

Officer/Director/Trustee Two

SHERRY VANVLECK
VICE PRESIDENT
809 W MAIN
ODESSA MO 64076

Officer/Director/Trustee Three

NANCY LEWALLEN
TREASURER
6828 LAKESHORE DR
RAYTOWN MO 64133

Officer/Director/Trustee Four

BILLIE REED
SECRETARY
2538 SE KIMBROUGH LN
LEE'S SUMMIT MO 64063

Officer/Director/Trustee Five

BARBARA OTTOLINI
VOTING DIRECTOR
1013 SW CROSS CREEK DR
GRAIN VALLEY MO 64029

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2012
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 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
Signature Title
Signature Date

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