FORM 1023-EZ for RENO COUNTY DRUG FREE ALLIANCE

Field Data
EIN 82-1919259
Case Number EO-2017191-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RENO COUNTY DRUG FREE ALLIANCE
Organization’s Mailing Address 115 WEST 1ST AVENUE
City HUTCHINSON
State KS
ZIP 67501-5235
Accounting period End 12
Primary contact name LIBERTEE THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD DILLON
PRESIDENT
20 WEST 2ND AVENUE
HUTCHINSON KS 67501

Officer/Director/Trustee Two

TED ROBINSON
VICE-PRESIDENT
5596 NORTH LORRAINE STREET
HUTCHINSON KS 67502

Officer/Director/Trustee Three

LAURIE CARR
SECRETARY-TREASURER
1509 WILLOW ROAD
HUTCHINSON KS 67502

Officer/Director/Trustee Four

JADE PIROS DE CARVALHO
MEMBER
3607 SPYGLASS DRIVE
HUTCHINSON KS 67502

Officer/Director/Trustee Five

JEN STERLING
MEMBER
905 EAST 24TH AVENUE UNIT A
HUTCHINSON KS 67502

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2016
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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