FORM 1023-EZ for CHRYSALIS HOUSE
| Field | Data |
|---|---|
| EIN | 82-2686447 |
| Case Number | EO-2020228-000032 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHRYSALIS HOUSE |
| Organization’s Mailing Address | PO BOX 273 |
| City | LAWSON |
| State | MO |
| ZIP | 64062 |
| Accounting period End | 12 |
| Primary contact name | PAUL MCNEIL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LORI YOUNG
EXECUTIVE DIRECTOR
316 E LEXINGTON
RICHMOND MO 64085
Officer/Director/Trustee Two
PAUL MCNEIL
TREASURER
407 N PENNSYLVANIA
LAWSON MO 64062
Officer/Director/Trustee Three
KATHY COFFMAN
SECRETARY
928 ST PAUL ST
EXCELSIOR SPRINGS MO 64024
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/6/2017 |
| Organization Incorporation State | MO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F33 - Group Home, Residential Treatment Facility - Mental Health Related |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | PAUL MCNEIL |
| Signature Title | TREASURER |
| Signature Date | 8/12/2020 |
| EIN | 82-2686447 |
| Case Number | EO-2017317-000124 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CHRYSALIS HOUSE |
| Organization’s Mailing Address | 30828 W 174TH ST |
| City | LAWSON |
| State | MO |
| ZIP | 64062 |
| Accounting period End | 12 |
| Primary contact name | LORI C YOUNG |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LORI C YOUNG
PRES
30828 W 174TH ST
LAWSON MO 64062
Officer/Director/Trustee Two
GEORGIA MATHEWS
SECRETARY
21062 BRIGHT LANE
LAWSON MO 64062
Officer/Director/Trustee Three
PAUL MCNEIL
TREASURER
407 N PENN
LAWSON MO 64062
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/6/2017 |
| Organization Incorporation State | MO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P43 - Family Violence Shelters, Services |
| 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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