FORM 1023-EZ for FREE SPIRITS INCORPORATED

Field Data
EIN 86-2075825
Case Number EO-2021091-000358
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FREE SPIRITS INCORPORATED
Organization’s Mailing Address 11806 E 84TH CIR S
City DERBY
State KS
ZIP 67037-7804
Accounting period End 7
Primary contact name CAROL KELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL KELLER
PRESIDENT
11806 E 84TH CIR S
DERBY KS 67037-7804

Officer/Director/Trustee Two

PAMELA BUSH
BOARD MEMBER
7015 E ROCKWOOD
WICHITA KS 67206-2041

Officer/Director/Trustee Three

JENNIFER COX
VICE PRESIDENT
1500 ROCK HILL CT
DERBY KS 67037-3717

Officer/Director/Trustee Four

DEBORAH INGRAM
BOARD MEMBER
213 E TALL TREE RD
DERBY KS 67037-3156

Officer/Director/Trustee Five

KAREN BAINTER
BOARD MEMBER
1100 OAKWOOD CT
DERBY KS 67037-2110

Organization’s website
Organization’s email RONANDCAROLK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2020
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 CAROL KELLER
Signature Title PRESIDENT
Signature Date 2/19/2021

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