FORM 1023-EZ for NORTH STAR FAMILY LIVING INCORPORATED

Field Data
EIN 83-1094510
Case Number EO-2018190-000459
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH STAR FAMILY LIVING INCORPORATED
Organization’s Mailing Address 31711 EAST PINK HILL ROAD
City GRAIN VALLEY
State MO
ZIP 64029
Accounting period End 12
Primary contact name LELA GRUEBEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VALORI SANDERS
OFFICER
891 SE MORELAND SCHOOL RD
BLUE SPRINGS MO 64014

Officer/Director/Trustee Two

AARON TRUAX
OFFICER
5775 NW 64TH TERRACE
KANSAS CITY MO 64151

Officer/Director/Trustee Three

ANDREW DANNER
OFFICER
5775 NW 64TH TERRACE
KANSAS CITY MO 64151

Officer/Director/Trustee Four

LELA GRUEBEL
DIRECTOR
31711 EAST PINK HILL RD
GRAIN VALLEY MO 64029

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: No
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 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 LELA GRUEBEL
Signature Title DIRECTOR
Signature Date 7/5/18

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