FORM 1023-EZ for ST JOHNS LUTHERAN CHURCH CEMETERY ASSOCIATION

Field Data
EIN 86-3994261
Case Number EO-2021144-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ST JOHNS LUTHERAN CHURCH CEMETERY ASSOCIATION
Organization’s Mailing Address 106 JASPER ROAD
City HANOVER
State KS
ZIP 66945
Accounting period End 12
Primary contact name KENNETH W WASSERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE STOHS
PRESIDENT DIRECTOR
5809 W OLIVE ROAD
ODELL NE 68415

Officer/Director/Trustee Two

WAYNE DUIS
TREASURER DIRECTOR
8991 W WILLOW ROAD
ODELL NE 68415

Officer/Director/Trustee Three

JON DUIS
DIRECTOR
2001 N STREET
LINCOLN NE 68510

Officer/Director/Trustee Four

JIM ADAM
DIRECTOR
51628 CUSTER STREET
ODELL NE 68415

Officer/Director/Trustee Five

PATTY SPENCER
SECRETARY DIRECTOR
312 E NORTH STREET
HANOVER KS 66945

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/2021
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial 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 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 KYLE STOHS
Signature Title PRESIDENT DIRECTOR
Signature Date 5/21/2021

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