FORM 1023-EZ for BUTLER R-5 EDUCATIONAL FOUNDATION

Field Data
EIN 20-5291832
Case Number EO-2017202-000349
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUTLER R-5 EDUCATIONAL FOUNDATION
Organization’s Mailing Address 420 FULTON
City BUTLER
State MO
ZIP 64730
Accounting period End 6
Primary contact name ROBERT KEEBLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVE MILLER
PRESIDENT
1724 NE COUNTY RD 2004
BUTLER MO 64730

Officer/Director/Trustee Two

ROBERT KEEBLE
TREASURER
13104 HIGH DRIVE
LEAWOOD KS 66209

Officer/Director/Trustee Three

MARCI BECKLEY
SECRETARY
430 SUNSET VIEW DRIVE
BUTLER MO 64730

Officer/Director/Trustee Four

DEBBIE GOLDAMMER
MEMBER
412 MEADOW LANE
BUTLER MO 64730

Officer/Director/Trustee Five

WESTON COLBURN
VICE PRESIDENT
3630 NW COUNTY ROAD 2001
BUTLER MO 64730

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2006
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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