FORM 1023-EZ for VOLUNTEER OPTOMETRIC SERVICES TO HUMANITY OF KANSAS INC

Field Data
EIN 48-1140025
Case Number EO-2018051-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VOLUNTEER OPTOMETRIC SERVICES TO HUMANITY OF KANSAS INC
Organization’s Mailing Address 1266 SW TOPEKA BLVD
City TOPEKA
State KS
ZIP 66612
Accounting period End 12
Primary contact name SETH THIBAULT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENEE BARTH
PRESIDENT
1601 E IRON AVENUE
SALINA KS 67401

Officer/Director/Trustee Two

BRENT CRANDON
VICE-PRESIDENT
1019 MASSACHUSETTS
LAWRENCE KS 66044

Officer/Director/Trustee Three

SETH THIBAULT
TREASURER
216 S OAK
PRATT KS 67124

Officer/Director/Trustee Four

KRISTINA POST
SECRETARY
1851 N WEBB RD
WICHITA KS 67206

Officer/Director/Trustee Five

ERIC LAMP
DIRECTOR AT LARGE
1202 W MAPLE
WICHITA KS 67213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/93
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G41 - Eye Diseases, Blindness and Vision Impairments
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 Yes
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 SETH THIBAULT
Signature Title TREASURER
Signature Date 2/15/18

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