FORM 1023-EZ for PAPAS HEART INC

Field Data
EIN 30-1207789
Case Number EO-2019273-000497
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAPAS HEART INC
Organization’s Mailing Address 7818 W 19TH ST N
City WICHITA
State KS
ZIP 67212
Accounting period End 12
Primary contact name SHARON SLATE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON SLATE
VICE PRESIDENT
7818 W 19TH ST N
WICHITA KS 67212

Officer/Director/Trustee Two

STEVE SLATE
PRESIDENT
7818 W 19TH ST N
WICHITA KS 67212

Officer/Director/Trustee Three

ELIZABETH FISHER
SECRETARY
10605 W WESTPORT ST
WICHITA KS 67212

Officer/Director/Trustee Four

CHERI DALY
TREASURER
2310 S LIMUEL CIRCLE
WICHITA KS 67235

Officer/Director/Trustee Five

BRIAN DALY
BOARD MEMBER
2310 S LIMUEL CIRCLE
WICHITA KS 67212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/19
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 SHARON SLATE
Signature Title VICE PRESIDENT
Signature Date 9/27/19

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