FORM 1023-EZ for SULLYS FOUNDATION FOR EPILEPSY RESEARCH AND EDUCATION

Field Data
EIN 84-4767767
Case Number EO-2020051-000417
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SULLYS FOUNDATION FOR EPILEPSY RESEARCH AND EDUCATION
Organization’s Mailing Address 512 N 11TH STREET APT 204
City MANHATTAN
State KS
ZIP 66502-5317
Accounting period End 10
Primary contact name JASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON DAVIS
PRESIDENT
512 N 11TH ST APT 204
MANHATTAN KS 66502-5317

Officer/Director/Trustee Two

NOAH PATTERSON
TREASURER
1019 BLUEMONT AVE
MANHATTAN KS 66502-5317

Officer/Director/Trustee Three

KYLE PETERSON
VICE PRESIDENT
1019 BLUEMONT AVE
MANHATTAN KS 66502-5317

Officer/Director/Trustee Four

SHADE WONDRA
SECRETARY
2913 QUIVIRA AVE
GREAT BEND KS 67530-7236

Officer/Director/Trustee Five

JACK WESTHOFF
VICE PRESIDENT
436 NE 10TH AVE
GREAT BEND KS 67530-9276

Organization’s website
Organization’s email SFEREINFORMATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2019
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H54 - Epilepsy Research
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name JASON DAVIS
Signature Title PRESIDENT
Signature Date 2/18/2020

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