FORM 1023-EZ for HEARING LOSS ASSOCIATION OF KANSASCITY

Field Data
EIN 27-1034808
Case Number EO-2015049-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARING LOSS ASSOCIATION OF KANSASCITY
Organization’s Mailing Address PO BOX 14592
City LENEXA
State KS
ZIP 66285-4592
Accounting period End 10
Primary contact name MINDA NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERRI SHIRLEY
CHAIR
11600 GRANT DR
OVERLAND PARK KS 66210-1936

Officer/Director/Trustee Two

GRETCHEN MORTIER
CO-TREASURER
8518 VALLEY VIEW DR
OVERLAND PARK KS 66212-1918

Officer/Director/Trustee Three

MINDA NELSON
CO-TREASURER
15469 S STURGEON DRIVE
OLATHE KS 66062-7008

Officer/Director/Trustee Four

DENOYA NOVOVESKY
OFFICER
8615 MARTY ST
OVERLAND PARK KS 66212-1967

Organization’s website HLAAKC.COM
Organization’s email HLAAKC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2009
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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