FORM 1023-EZ for THE DANIEL J BLANCHAT CATHOLIC YOUTH FOUNDATION

Field Data
EIN 84-6598528
Case Number EO-2020298-000002
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE DANIEL J BLANCHAT CATHOLIC YOUTH FOUNDATION
Organization’s Mailing Address 107 LAYTON STREET SUITE A
City DODGE CITY
State KS
ZIP 67801
Accounting period End 12
Primary contact name TAMARA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL BLANCHAT
TRUSTEE
PO BOX 1
DANVILLE KS 67036

Officer/Director/Trustee Two

GILBERT BERGKAMP II
TRUSTEE
3600 N HYDRAULIC
WICHITA KS 67219

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2019
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 DANIEL BLANCHAT
Signature Title TRUSTEE
Signature Date 10/21/2020

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