FORM 1023-EZ for FORD COUNTY BREASTFEEDING COALITIONINC

Field Data
EIN 83-2496345
Case Number EO-2019126-000608
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORD COUNTY BREASTFEEDING COALITIONINC
Organization’s Mailing Address 2016 THOMPSON AVE
City DODGE CITY
State KS
ZIP 67801-2640
Accounting period End 12
Primary contact name JENNIE TOLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIE TOLAND
EXECUTIVE DIRECTOR
2016 THOMPSON AVE
DODGE CITY KS 67801

Officer/Director/Trustee Two

KELSIE SMITH
TREASURER
1407 CENTRAL AVE
DODGE CITY KS 67801

Officer/Director/Trustee Three

ASHLEY SMITH
SECRETARY
PO BOX 73
ENGLEWOOD KS 67840

Officer/Director/Trustee Four

LINDA UNRUH
DIRECTOR AT LARGE
13005 17TH AVE
MULLINVILLE KS 67109

Officer/Director/Trustee Five

SUSAN LUKWAGO
DIRECTOR AT LARGE
1330 N CAIN AVE
LIBERAL KS 67901

Organization’s website
Organization’s email EXECUTIVEDIRECTOR.FCBC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/18
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 JENNIE TOLAND
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/3/19

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