FORM 1023-EZ for HEART OF AMERICA AFFILIATE OF THE ASSOCATION FOR NURSING PROFESSIONAL

Field Data
EIN 75-3214627
Case Number EO-2020260-000311
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART OF AMERICA AFFILIATE OF THE ASSOCATION FOR NURSING PROFESSIONAL
Organization’s Mailing Address 1010 INDUSTRIAL DRIVE
City PLEASANT HILL
State MO
ZIP 64080
Accounting period End 12
Primary contact name KATHRYN R GRIFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL WINDER
PRESIDENT
7129 NW EDGE HILL ROAD
PARKVILLE MO 64152

Officer/Director/Trustee Two

DEB LIEBIG
PRESIDENT ELECT
1828 NEW WOODVIEW LANE
LEES SUMMIT MO 64086

Officer/Director/Trustee Three

GAYLA GOLEMAN
TREASURER
8552 N GOWER AVE
KANSAS CITY MO 64154

Officer/Director/Trustee Four

CRISTY RUTTER-CHU
SECRETARY
1005 N LAUREL AVE
KANSAS CITY MO 64157

Officer/Director/Trustee Five

MARY DAVIS
MARKETING CHAIR
9717 NW VIEWCOVES DRIVE
PARKVILLE MO 64152

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C03 - Professional Societies, Associations
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 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 GAYLA GOLEMAN
Signature Title TREASURER
Signature Date 9/14/2020

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