FORM 1023-EZ for THRIVE JACKSON COUNTY KANSAS INC

Field Data
EIN 81-4719797
Case Number EO-2017023-000447
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THRIVE JACKSON COUNTY KANSAS INC
Organization’s Mailing Address PO BOX 444
City HOLTON
State KS
ZIP 66436
Accounting period End 12
Primary contact name JENNIFER MAREK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH GIDEON
PRESIDENT
616 PENNYSLVANIA
HOLTON KS 66436

Officer/Director/Trustee Two

ROGER HOWER
VICE PRESIDENT
17352 222ND RD
HOLTON KS 66436

Officer/Director/Trustee Three

JUDY MAY
TREASURER
17645 198TH RD
HOLTON KS 66436

Officer/Director/Trustee Four

KORI MORAN-ANDERSON
SECRATARY
220 FRONT ST
OLSBURG KS 66521

Organization’s website
Organization’s email THRIVE.JACKSONCOUNTY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2016
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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