FORM 1023-EZ for HEROES FOR HOSPICE INC

Field Data
EIN 47-2811898
Case Number EO-2015020-000313
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEROES FOR HOSPICE INC
Organization’s Mailing Address 7307 GLENWOOD LANE
City OVERLAND PARK
State KS
ZIP 66204
Accounting period End 12
Primary contact name KEVIN DUANE KNIPP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN KNIPP
CHIEF FINANCIAL OFFICER
7307 GLENWOOD LANE
OVERLAND PARK

Officer/Director/Trustee Two

JEFFREY WHELAN
CHARIMAN OF THE BOARD
21 W 66TH ST
KANSAS CITY MO 64113

Officer/Director/Trustee Three

KARLI LOCKARD
PRESIDENT
12 W 82ND TERRACE
KANSAS CITY MO 64114

Officer/Director/Trustee Four

SARAH SWENSON
SECRETARY
12864 W 109TH ST
OVERLAND PARK KS 66210

Officer/Director/Trustee Five

LARRY PFEIFFER
MEMBER AT LARGE
5309 MISSION WOODS ROAD
MISSION WOODS KS 66205

Organization’s website WWW.HEROESFORHOSPICE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2015
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P74 - Hospice
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 Yes
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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