FORM 1023-EZ for ORPHANOLOGY INC

Field Data
EIN 46-1198132
Case Number EO-2016175-000098
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORPHANOLOGY INC
Organization’s Mailing Address 13214 CORRINGTON AVE
City GRANDVIEW
State MO
ZIP 64030-3333
Accounting period End 6
Primary contact name RUSTIN CARLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RUSTIN CARLSON
PRESIDENT
12454 SLATER ST
OVERLAND PARK KS 66213

Officer/Director/Trustee Two

WESLEY TULLIS
VICE PRESIDENT
105 E 125TH TERRACE
KANSAS CITY MO 64145

Officer/Director/Trustee Three

JONATHAN LEE
DIRECTOR
22287 SW RIVER SPRING RD
LEE'S SUMMIT MO 64082

Officer/Director/Trustee Four

MATTHEW WILLIS
DIRECTOR
8535 W 147TH TERRACE
OVERLAND PARK KS 66223

Officer/Director/Trustee Five

LAURA CARLSON
DIRECTOR
12454 SLATER ST
OVERLAND PARK KS 66213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2011
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P76 - Youth Housing
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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