FORM 1023-EZ for CHANCES R RANCH INC

Field Data
EIN 47-4853503
Case Number EO-2016239-000094
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHANCES R RANCH INC
Organization’s Mailing Address 14446 110TH ST
City OSKALOOSA
State KS
ZIP 66066-5184
Accounting period End 12
Primary contact name KELLY MEYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK SAFFER
BOARD PRESIDENT
14446 110TH STREET
OSKALOOSA KS 66066-5184

Officer/Director/Trustee Two

KELLY MEYER
VICE PRESIDENT
16361 GILMAN RD
LEAVENWORTH KS 66048-7344

Officer/Director/Trustee Three

TSEHAY THOMAS
SECRETARY
14444 110TH RD
OSKALOOSA KS 66049-5184

Officer/Director/Trustee Four

KRIS ADELL
TREASURER
128 1/2 EAST B STREET
POMONA KS 66076-9213

Officer/Director/Trustee Five

COLLIN MEYER
BOARD MEMBER
16361 GILMAN RD
LEAVENWORTH KS 66048-7344

Organization’s website
Organization’s email CHANCESRRANCHKANSAS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2015
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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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