FORM 1023-EZ for FAITH IN ACTION

Field Data
EIN 47-3893161
Case Number EO-2015131-000432
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAITH IN ACTION
Organization’s Mailing Address 20490 SE BETHEL ROAD
City KIOWA
State KS
ZIP 67070-8516
Accounting period End 12
Primary contact name JANELL GOODNO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GAYLE MCNETT
CHAIRMAN
20490 SE BETHEL ROAD
KIOWA KS 67070-8516

Officer/Director/Trustee Two

JUSTIN GOODNO
VICE CHAIRMAN
1250 SW HAWKINS
KIOWA KS 67070-0083

Officer/Director/Trustee Three

LINDSEY MCMORAN
TREASURER
277 ROAD 28
COLDWATER KS 67029-5653

Officer/Director/Trustee Four

LEYSA DIEL
SECRETARY
212 COATES
KIOWA KS 67070-1136

Officer/Director/Trustee Five

ARIEL SIMPSON
PUBLIC RELATIONS
123 SOUTH 4TH STREET
KIOWA KS 67070-1501

Organization’s website
Organization’s email JANELLGOODNO@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/2015
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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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