FORM 1023-EZ for CONCRETE CARES INC

Field Data
EIN 47-4911270
Case Number EO-2016272-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONCRETE CARES INC
Organization’s Mailing Address 2323 GRAND BLVD SUITE 1100
City KANSAS CITY
State MO
ZIP 64108
Accounting period End 12
Primary contact name ROBERT C LATZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA MURRAY
PRESIDENT DIRECTOR
11 CHEDDAR CIRCLE
BELLA VISTA AR 72715

Officer/Director/Trustee Two

KATHREN KNIGGE
DIRECTOR SECRETARY TREASURER
54 BRENTWOOD STREET
BELLA VISTA AR 72715

Officer/Director/Trustee Three

MIKE MURRAY
DIRECTOR
11 CHEDDAR CIRCLE
BELLA VISTA AR 72715

Officer/Director/Trustee Four

DEBBIE OHLAND
DIRECTOR
403 OAK
MANSFIELD MO 65704

Officer/Director/Trustee Five

TAMRYN DOOLAN
DIRECTOR
10137 HUNTSMAN PATH
PENSACOLA FL 32514

Organization’s website WWW.CONCRETECARES.COM
Organization’s email CONCRETECARES2016@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2016
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
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
Signature Title
Signature Date

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