FORM 1023-EZ for KERN CENTER

Field Data
EIN 85-0781301
Case Number EO-2020121-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KERN CENTER
Organization’s Mailing Address 613 EAST PARK AVENUE
City RICH HILL
State MO
ZIP 64779
Accounting period End 12
Primary contact name SHARON TOURTILLOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON TOURTILLOTT
BOARD PRESIDENT
613 EAST PARK AVENUE
RICH HILL MO 64779

Officer/Director/Trustee Two

JANICE BOLSER
CO-TREASURER
221 NORTH 4TH STREEET
RICH HILL MO 64779

Officer/Director/Trustee Three

MARILYN ENTRIKIN
VICE-PRESIDENT
501 EAST CHERRY STREET
RICH HILL MO 64779

Officer/Director/Trustee Four

LINDA TOURTILLOTT
CO-TREASURER
1404 WEST WRIGHT
NEVADA MO 64772

Officer/Director/Trustee Five

LINDA WILLIAMS
SECRETARY
617 EAST PARK AVENUE
RICH HILL MO 64779

Organization’s website
Organization’s email TOURTILLOTT@KLMTEL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 SHARON TOURTILLOTT
Signature Title BOARD PRESIDENT
Signature Date 4/28/2020

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