FORM 1023-EZ for KANSAS RECOVERY NETWORK INC

Field Data
EIN 87-0910616
Case Number EO-2021180-000039
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KANSAS RECOVERY NETWORK INC
Organization’s Mailing Address 221B WEST 5TH AVE
City HUTCHINSON
State KS
ZIP 67501
Accounting period End 12
Primary contact name JACCI BOLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANA WOODBURN
PRESIDENT
1327 E AVE A
HUTCHINSON KS 67501

Officer/Director/Trustee Two

LACY LOMAX
VICE PRESIDENT
102 E 2ND AVE APT 203
HUTCHINSON KS 67501

Officer/Director/Trustee Three

ALYSSA RYAN
SECRETARY
2238 DOVER DR
HUTCHINSON KS 67502

Officer/Director/Trustee Four

JACCI BOLIN
TREASURER
221B WEST 5TH AVE
HUTCHINSON KS 67501

Officer/Director/Trustee Five

SETH DEWEY
BOARD MEMBER
320 E SHERMAN APT 3
HUTCHINSON KS 67501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2021
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JACCI BOLIN
Signature Title TREASURER
Signature Date 6/25/2021

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