FORM 1023-EZ for MIDWEST ORPHANAGE AND SANCTUARY FOREXOTICS AND ENDANGERED

Field Data
EIN 82-2622222
Case Number EO-2017242-000512
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDWEST ORPHANAGE AND SANCTUARY FOREXOTICS AND ENDANGERED
Organization’s Mailing Address 14300 OVERHILL AVE
City GRANDVIEW
State MO
ZIP 64030
Accounting period End 12
Primary contact name JENNIFER PHANTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER PHANTON
PRESIDENT
14300 OVERHILL AVE
GRANDVIEW MO 64030

Officer/Director/Trustee Two

WILLIAM QUITMEIER
SECRETARY
10150 N AMBASSADOR DRIVE STE 100
KANSAS CITY MO 64153

Officer/Director/Trustee Three

KHEAN HO
VICE PRESIDENT
1929 CONGRESS STREET APT A
ST LOUIS MO 63118

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D34 - Wildlife Sanctuary, Refuge
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
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 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
Signature Title
Signature Date

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