FORM 1023-EZ for STRIVE 4 LIFE FOUNDATION

Field Data
EIN 46-3549552
Case Number EO-2016256-000505
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STRIVE 4 LIFE FOUNDATION
Organization’s Mailing Address 221 EAST 11TH STREET
City KANSAS CITY
State MO
ZIP 64106
Accounting period End 12
Primary contact name ROBERT HAMMEKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MILLER
DIRECTOR
12641 ANTIOCH
OVERLAND PARK KS 66213

Officer/Director/Trustee Two

PATTY NELSON
SECRETARY
8310 W 98TH TERRACE
OVERLAND PARK KS 66120

Officer/Director/Trustee Three

MARK GROVER
DIRECTOR
10311 W 92ND PLACE
OVERLAND PARK KS 66214

Officer/Director/Trustee Four

ROBERT HAMMEKE
PRESIDENT
415 HILLCREST RD E
LAKE QUIVIRA KS 66217

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2013
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G43 - Heart and Circulatory System Diseases, Disorders
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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