FORM 1023-EZ for QUINDARO HEALTH CORPS ASSOCIATION

Field Data
EIN 85-1312040
Case Number EO-2020161-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUINDARO HEALTH CORPS ASSOCIATION
Organization’s Mailing Address 4705 NEBRASKA AVENUE
City KANSAS CITY
State KS
ZIP 66102
Accounting period End 12
Primary contact name KIMBERLY LARTEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY LARTEY
DIRECTOR
5824 E 40TH TERR
KANSAS CITY MO 64129

Officer/Director/Trustee Two

JUSTICE GATSON
BOARD MEMBER
3940 VINEYARD ROAD
KANSAS CITY MO 64130

Officer/Director/Trustee Three

CHERYL GATES
BOARD MEMBER
3711 CHARLOTTE ST
KANSAS CITY MO 64111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2020
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion 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 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 KIMBERLY LARTEY
Signature Title DIRECTOR
Signature Date 6/7/2020

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