FORM 1023-EZ for ICARE OF NORTHEAST KANSAS INC

Field Data
EIN 81-4382180
Case Number EO-2016319-000465
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ICARE OF NORTHEAST KANSAS INC
Organization’s Mailing Address 8121 W 129TH ST
City OVERLAND PARK
State KS
ZIP 66213
Accounting period End 12
Primary contact name KEVIN M HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN HILLYER
PRESIDENT
11870 W 144TH TERR
OLATHE KS 66062

Officer/Director/Trustee Two

KEVIN HILL
SENIOR VICE PRESIDENT
407 HATFIELD
HIAWATHA KS 66434

Officer/Director/Trustee Three

JOHN JOHNSON
VICE PRESIDENT
2026 KEY LANE
KANSAS CITY KS 66106

Officer/Director/Trustee Four

DAVID TOKIC
TREASURER
8121 129TH STREET
OVERLAND PARK KS 66213

Officer/Director/Trustee Five

JAVIER PEDROZA
SECRETARY
5907 PFLUMM
SHAWNEE KS 66216

Organization’s website ICARENEK.ORG
Organization’s email INFO@ICARENEK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2016
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 No
One Third Support Gifts Yes
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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