FORM 1023-EZ for ISFR CHICKS N CHAPS

Field Data
EIN 46-3244149
Case Number EO-2015224-000191
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ISFR CHICKS N CHAPS
Organization’s Mailing Address PO BOX 103
City COFFEYVILLE
State KS
ZIP 67337
Accounting period End 12
Primary contact name KRISTEN KUEHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOYCE CROSS
PRESIDENT
2802 CR 4550
COFFEYVILLE KS 67337

Officer/Director/Trustee Two

KRISTEN KUEHN
TREASURER
RT 1 BOX 339-25
SOUTH COFFEYVILLE OK 74072-9513

Officer/Director/Trustee Three

SHANEENA CLARK
SECRETARY
RT 1 BOX 194
SOUTH COFFEYVILLE OK 74072

Organization’s website
Organization’s email KAKUEHN@DOUBLEKACCOUNTING.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2013
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 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 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
Signature Title
Signature Date

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