FORM 1023-EZ for CHARIS PLACE INC

Field Data
EIN 85-2925747
Case Number EO-2020273-000519
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHARIS PLACE INC
Organization’s Mailing Address 1005 CONSTITUTION ST
City EMPORIA
State KS
ZIP 66801
Accounting period End 9
Primary contact name AARON LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA SHEPHERD
FOUNDER
1005 CONSTITUTION ST
EMPORIA KS 66801-2874

Officer/Director/Trustee Two

MATTHEW SHEPHERD
BOARD MEMBER
1005 CONSTITUTION ST
EMPORIA KS 66801-2874

Officer/Director/Trustee Three

AARON LARSON
BOARD MEMBER
15 MARKET ST
AMERICUS KS 66801-3923

Organization’s website
Organization’s email CHARISPLACEEMPORIA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2020
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P7A - Disability Facilities
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 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 AARON LARSON
Signature Title BOARD MEMBER
Signature Date 9/24/2020

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