FORM 1023-EZ for BERKLEY FAMILY INVOLVEMENT PROGRAM INC

Field Data
EIN 31-1764233
Case Number EO-2017048-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BERKLEY FAMILY INVOLVEMENT PROGRAM INC
Organization’s Mailing Address 1012 E 52ND ST
City KANSAS CITY
State MO
ZIP 64110-2501
Accounting period End 12
Primary contact name REBECCA SUROFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA SUROFF
PRESIDENT
6432 SAGAMORE RD
MISSION HILLS KS 66208

Officer/Director/Trustee Two

AMANDA HEMBREE
VICE PRESIDENT
411 E 78TH TERRACE
KANSAS CITY MO 64131

Officer/Director/Trustee Three

MICHELLE PAQUETTE
TREASURER
6414 W 79TH TERRACE
OVERLAND PARK KS 66204

Officer/Director/Trustee Four

ANNIE KUENZEL
SECRETARY
421 W 58TH STREET
KANSAS CITY MO 64113

Organization’s website N/A
Organization’s email BERKLEYFIP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2000
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
Scientific: Yes
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 No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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