FORM 1023-EZ for ANISTEMI CORPORATION

Field Data
EIN 83-0848900
Case Number EO-2018298-000286
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANISTEMI CORPORATION
Organization’s Mailing Address 4201 NW 96TH ST
City HESSTON
State KS
ZIP 67062
Accounting period End 12
Primary contact name KRISTI MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTI MARTIN
PRESIDENT
4201 NW 96TH ST
HESSTON KS 67062

Officer/Director/Trustee Two

MASEMO WAKIBOGO
VICE PRESIDENT
512 N STREETER
HESSTON KS 67062

Officer/Director/Trustee Three

MARK LANDES
OFFICER
401 MORNING DEW
HESSTON KS 67062

Organization’s website N/A
Organization’s email STEVEANDKRISTIMARTIN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/18
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 Yes
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 KRISTI MARTIN
Signature Title PRESIDENT
Signature Date 10/23/18

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