FORM 1023-EZ for THE HARTZLER FOUNDATION

Field Data
EIN 84-2344875
Case Number EO-2019196-000152
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HARTZLER FOUNDATION
Organization’s Mailing Address 4601 E DOUGLAS AVE
City WICHITA
State KS
ZIP 67218
Accounting period End 12
Primary contact name ANDREW HARTZLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW HARTZLER
DIRECTOR/ BOARD MEMBER
4601 E DOUGLAS AVE
WICHITA KS 67218

Officer/Director/Trustee Two

MATTHEW HARTZLER
SECRETARY/BOARD MEMBER
4601 E DOUGLAS AVE
WICHITA KS 67218

Officer/Director/Trustee Three

SEYEON PARK
TREASURER/ BOARD MEMBER
4601 E DOUGLAS AVE
WICHITA KS 67218

Organization’s website
Organization’s email INFO@THEHARTZLERFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/19
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 ANDREW HARTZLER
Signature Title DIRECTOR/ BOARD MEMBER
Signature Date 7/11/19

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