FORM 1023-EZ for HOMESTEAD PLACE KANSAS INC

Field Data
EIN 82-2090941
Case Number EO-2017195-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOMESTEAD PLACE KANSAS INC
Organization’s Mailing Address 3181 CHAUTAUQUA ROAD
City HOLTON
State KS
ZIP 66436
Accounting period End 12
Primary contact name LORETTA HIATT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORETTA HIATT
CHAIRMAN
5815 BIG CANON DRIVE
GREENWOOD VILLAGE CO 80111

Officer/Director/Trustee Two

GORDON ROOT
TREASURER
525 B STREET SUITE 2200
SAN DIEGO CA 92101

Officer/Director/Trustee Three

STACEY WYANT
SECRETARY
25050 W STREET
HOLTON KS 66436

Officer/Director/Trustee Four

DONALD DAY
TRUSTEE
5840 S GOLDSMITH PLACE
GREENWOOD VILLAGE CO 80111

Officer/Director/Trustee Five

JOAN STAFFORD
TRUSTEE
1478 N HARDING AVENUE
PASADENA CA 91104

Organization’s website WWWHOMESTEADPLACEKANSAS.ORG
Organization’s email HOMESTEADPLACEKANSAS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2017
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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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