FORM 1023-EZ for JIM AND MARGE STAINBROOK FOUNDATION

Field Data
EIN 82-1412545
Case Number EO-2017153-000235
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JIM AND MARGE STAINBROOK FOUNDATION
Organization’s Mailing Address 605 CENTRAL AVE
City HOYT
State KS
ZIP 66440
Accounting period End 12
Primary contact name DUSTIN BRINKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUSTIN BRINKMAN
CHAIRPERSON/DIRECTOR
605 CENTRAL AVE
HOYT KS 66440

Officer/Director/Trustee Two

JASON STAINBROOK
VICE CHAIRPERSON
115 PARK AVE
LACYGNE KS 66040

Officer/Director/Trustee Three

JENNA SHIELDS
TREASURER
337 FOX MEADOW DR
WEXFORD PA 15090

Officer/Director/Trustee Four

BRAD STAINBROOK
SECRETARY
20615 KEITEL
LACYGNE KS 66040

Organization’s website WWW.STAINBROOKFOUNDATION.ORG
Organization’s email DUSTIN@STAINBROOKFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2017
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
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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