FORM 1023-EZ for COMMUNITY CHAPLAIN RESPONSE TEAM INC

Field Data
EIN 46-5708001
Case Number EO-2014254-000580
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY CHAPLAIN RESPONSE TEAM INC
Organization’s Mailing Address 2322 SOUTH ANDERSON ROAD
City NEWTON
State KS
ZIP 67114
Accounting period End 12
Primary contact name MARLENE LEMMER BEESON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON REYNOLDS
DIRECTOR
2322 SOUTH ANDERSON ROAD
NEWTON KS 67114

Officer/Director/Trustee Two

TOWNSEND WALTON
BOARD PRESIDENT
125 E 7TH STREET
NEWTON KS 67114

Officer/Director/Trustee Three

APRIL REYNOLDS
BOARD SECRETARY
2322 SOUTH ANDERSON ROAD
NEWTON KS 67114

Officer/Director/Trustee Four

ROWENA SCHROEDER
BOARD TREASURER
125 E 7TH STREET
NEWTON KS 67114

Officer/Director/Trustee Five

MARLENE BEESON
BOARD VICE PRESIDENT
420 S E 2ND STREET
NEWTON KS 67114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/2014
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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
Signature Title
Signature Date

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