FORM 1023-EZ for MIDWEST CHAPLAIN ASSOCIATION

Field Data
EIN 82-4645871
Case Number EO-2018067-000066
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDWEST CHAPLAIN ASSOCIATION
Organization’s Mailing Address 10418 BALES AVE
City KANSAS CITY
State MO
ZIP 64137
Accounting period End 12
Primary contact name KEVIN HARDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN HARDY
PRESIDENT
10418 BALES AVE
KANSAS CITY MO 64137

Officer/Director/Trustee Two

JEFF FAIRLIE
VICE PRESIDENT
725 CORRINGTON DRIVE
RAYMORE MO 64083

Officer/Director/Trustee Three

LEONARD LAGUARDIA
SECRETARY/TREASURER
PO BOX 573
GRANDVIEW MO 64030

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/17
Organization Incorporation State MO
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEVIN HARDY
Signature Title PRESIDENT
Signature Date 3/6/18

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