FORM 1023-EZ for UBA5 FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-3365253 |
| Case Number | EO-2019038-000426 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | UBA5 FOUNDATION |
| Organization’s Mailing Address | 5342 ARROYO |
| City | TOPEKA |
| State | KS |
| ZIP | 66618 |
| Accounting period End | 12 |
| Primary contact name | AMBER SMITH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
AMBER SMITH
INCORPORATOR
5342 NW ARROYO
TOPEKA KS 66618
Officer/Director/Trustee Two
KIMBERLY KRAUTER
INCORPORATOR
510 CHEYENNE
HIAWATHA KS 66434
Officer/Director/Trustee Three
JEAN BRINTNALL
BOARD MEMBER
1910 240TH STREET
HIAWATHA KS 66434
Officer/Director/Trustee Four
NANCY WEINGART
BOARD MEMBER
217 SIOUX AVE
HIAWATHA KS 66434
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/23/19 |
| Organization Incorporation State | KS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G20 - Birth Defects and Genetic Diseases |
| Organization’s purpose | Charitable: Yes Religious: No 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 | KIMBERLY KRAUTER |
| Signature Title | INCORPORATOR |
| Signature Date | 1/30/19 |
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