FORM 1023-EZ for LAURA HAY HUMPHREY FOUNDATION

Field Data
EIN 83-3222263
Case Number EO-2019037-000557
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAURA HAY HUMPHREY FOUNDATION
Organization’s Mailing Address 200 NW HEMLOCK ST
City LEES SUMMIT
State MO
ZIP 64064-1444
Accounting period End 12
Primary contact name NATHAN THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLINE CARTER
BOARD MEMBER/PRESIDENT
200 NW HEMLOCK ST
LEES SUMMIT MO 64064-1444

Officer/Director/Trustee Two

RACHEL HAY
BOARD MEMBER/VICE PRESIDENT
200 NW HEMLOCK ST
LEES SUMMIT MO 64064-1444

Officer/Director/Trustee Three

JOANNA MOORE
BOARD MEMBER/TREASURER
200 NW HEMLOCK ST
LEES SUMMIT MO 64064-1444

Officer/Director/Trustee Four

ALLISON MULLER
BOARD MEMBER/SECRETARY
200 NW HEMLOCK ST
LEES SUMMIT MO 64064-1444

Officer/Director/Trustee Five

ANDI HAIDUK
BOARD MEMBER
200 NW HEMLOCK ST
LEES SUMMIT MO 64064-1444

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 CAROLINE CARTER
Signature Title BOARD MEMBER/PRESIDENT
Signature Date 1/29/19

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