FORM 1023-EZ for BEACON MEDICAL

Field Data
EIN 81-5408341
Case Number EO-2018171-000725
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEACON MEDICAL
Organization’s Mailing Address 7001 NW 74TH ST
City KANSAS CITY
State MO
ZIP 64152
Accounting period End 12
Primary contact name LINSEY FERRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA FERRELL
OFFICER
7001 NW 74TH ST
KANSAS CITY MO 64152

Officer/Director/Trustee Two

ANNA BETH MARINZTER
DIRECTOR/VICE PRESIDENT
30705 W 84TH CIR
DESOTO KS 66018

Officer/Director/Trustee Three

LINSEY FERRELL
DIRECTOR/TREASURER
7001 NW 74TH ST
KANSAS CITY MO 64152

Officer/Director/Trustee Four

BRENT ROACH
DIRECTOR/PRESIDENT
3112 CAMBRIDGE
ST. JOSEPH MO 64506

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/17
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
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 LINSEY FERRELL
Signature Title DIRECTOR/TREASURER
Signature Date 6/18/18

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