FORM 1023-EZ for ONE NINETY-NINE INC

Field Data
EIN 86-1600095
Case Number EO-2021088-000550
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE NINETY-NINE INC
Organization’s Mailing Address 13868 S HAGAN ST
City OLATHE
State KS
ZIP 66062-4587
Accounting period End 12
Primary contact name RACHEL HEIDRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL HEIDRICK
EXECUTIVE DIRECTOR
13868 S HAGAN ST
OLATHE KS 66062-4587

Officer/Director/Trustee Two

LORI JONAS
DIRECTOR OF VOLUNTEERS
1292 E SHERIDAN BRIDGE LN
OLATHE KS 66062

Officer/Director/Trustee Three

DIANE KELLER
DIRECTOR OF FINANCE
4921 WOODSTOCK ST
SHAWNEE KS 66218

Officer/Director/Trustee Four

MONA PETRIE
DIRECTOR OF PROGRAMS
15508 W 133RD ST APT 1414
OLATHE KS 66062

Organization’s website
Organization’s email 1NINETY.NINE.NEXTSTEP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2020
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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 RACHEL HEIDRICK
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/11/2021

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