FORM 1023-EZ for SAFE HANDS OF KANSAS CITY INCORPORATED

Field Data
EIN 45-5272471
Case Number EO-2019154-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE HANDS OF KANSAS CITY INCORPORATED
Organization’s Mailing Address PO BOX 3821
City KANSAS CITY
State KS
ZIP 66103
Accounting period End 12
Primary contact name JAN BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAN BROOKS
DIRECTOR/PRESIDENT/CEO
333 S 8TH TERR
KANSAS CITY KS 66103

Officer/Director/Trustee Two

TERRI GRAVES
DIRECTOR/VICE PRESIDENT
10510 WALLACE AVENUE
KANSAS CITY MO 64157

Officer/Director/Trustee Three

ROSHAWNDA LEWIS
DIRECTOR/TRESURER/CFO
1719 MEADOWLARK CT APT 102
KANSAS CITY KS 66102

Officer/Director/Trustee Four

TERYL BARNETT
DIRECTOR
3822 N 33RD TERRRACE
KANSAS CITY KS 66104

Officer/Director/Trustee Five

CARRIE RANDLE
SECRETARY
8626 CHESTNUT
KANSAS CITY MO 64131

Organization’s website
Organization’s email SAFEHANDSOFKC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/12
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 JAN BROOKS
Signature Title DIRECTOR/PRESIDENT/CEO
Signature Date 5/30/19

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