FORM 1023-EZ for HOPE FAMILY THERAPY INC

Field Data
EIN 82-4972841
Case Number EO-2018236-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOPE FAMILY THERAPY INC
Organization’s Mailing Address 1403 N 3RD STREET
City ATCHISON
State KS
ZIP 66002
Accounting period End 12
Primary contact name ERIC J PARKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC PARKS
DIRECTOR
1403 N 3RD STREET
ATCHISON KS 66002

Officer/Director/Trustee Two

REV DR RACHEL DANNAR
DIRECTOR
1330 14TH PLACE
ATCHISON KS 66002

Officer/Director/Trustee Three

DR SARAH LYON
DIRECTOR
303 HILLSIDE DRIVE
BALDWIN CITY KS 66006

Officer/Director/Trustee Four

MICHELLE PRUESSNER PA-C
DIRECTOR
19919 SEVEN SISTERS ROAD
LEAVENWORTH KS 66048

Officer/Director/Trustee Five

CASEY QUINN
DIRECTOR
4832 HWY 73
ATCHISON KS 66002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/18
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 ERIC PARKS
Signature Title DIRECTOR
Signature Date 8/22/18

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