FORM 1023-EZ for WOODSON COUNTY REVITALIZATION ALLIANCE REVITALIZEYC INC

Field Data
EIN 83-1280191
Case Number EO-2019036-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WOODSON COUNTY REVITALIZATION ALLIANCE REVITALIZEYC INC
Organization’s Mailing Address 110 N MAIN ST
City YATES CENTER
State KS
ZIP 66783-3333
Accounting period End 6
Primary contact name LAURA DOUGLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMILY BEESLEY
PRESIDENT
2916 PIEDMONT RD
PIEDMONT OK 73078

Officer/Director/Trustee Two

JEFFREY EDWARDS
VP
579 180TH RD
GRIDLEY KS 66852

Officer/Director/Trustee Three

LAURA DOUGLAS
TREASURER
1353 105TH RD
YATES CENTER KS 66783

Officer/Director/Trustee Four

SARA STANDRIDGE
SECRETARY
1283 105TH RD
YATES CENTER KS 66783

Officer/Director/Trustee Five

AMANDA MULSOW
DIRECTOR/ADV & MARKETING REP
409 N BLUFF
WICHITA KS 67208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/18
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (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 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 LAURA DOUGLAS
Signature Title TREASURER
Signature Date 1/17/19

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