FORM 1023-EZ for TOPS KS 1141 GALVA

Field Data
EIN 47-0976302
Case Number EO-2017248-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOPS KS 1141 GALVA
Organization’s Mailing Address 1895 21ST AVENUE
City GALVA
State KS
ZIP 67443-8809
Accounting period End 3
Primary contact name PAMELA NORSTROM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA NORSTROM
LEADER
1895 21ST AVE
GALVA KS 67443-8809

Officer/Director/Trustee Two

AUDREY UNRUH
CO-LEADER
1246 22ND AVE
GALVA KS 67443-8015

Officer/Director/Trustee Three

CATHY MORGAN
TREASURER
P O BOX 502
CANTON KS 67428-0502

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2015
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: No
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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