FORM 1023-EZ for COFFEYVILLE NEIGHBORHOOD INITIATIVEINC

Field Data
EIN 83-4514929
Case Number EO-2020037-000282
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COFFEYVILLE NEIGHBORHOOD INITIATIVEINC
Organization’s Mailing Address 1119 WEST 9TH STREET
City COFFEYVILLE
State KS
ZIP 67337-4119
Accounting period End 12
Primary contact name R G OLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY STEELE
PRESIDENT AND DIRECTOR
1119 WEST 9TH STREET
COFFEYVILLE KS 67337-4119

Officer/Director/Trustee Two

DANIEL BRYCE
TREASURER AND DIRECTOR
123 WEST 9TH STREET
COFFEYVILLE KS 67337-4119

Officer/Director/Trustee Three

CARLA LELACHEUR
SECRETARY AND DIRECTOR
1307 WEST 11TH STREET
COFFEYVILLE KS 67337-4119

Officer/Director/Trustee Four

DOUG MUND
DIRECTOR
2455 WOODLAND AVENUE
COFFEYVILLE KS 67337-4119

Officer/Director/Trustee Five

BILL JENKINS
DIRECTOR
414 EAST 2ND STREET
COFFEYVILLE KS 67337-4119

Organization’s website N/A
Organization’s email PEGGYS30982@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2019
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 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 PEGGY STEELE
Signature Title PRESIDENT AND DIRECTOR
Signature Date 2/4/2020

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