FORM 1023-EZ for GRATIA PLENA INC

Field Data
EIN 82-1371692
Case Number EO-2018073-000063
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRATIA PLENA INC
Organization’s Mailing Address PO BOX 15791
City LENEXA
State KS
ZIP 66285
Accounting period End 6
Primary contact name LISA BLACKSTOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN FOX
EXECUTIVE DIRECTOR PRESIDENT
9135 PARK ST
LENEXA KS 66215

Officer/Director/Trustee Two

FR SCOTT WALLISCH
CHAPLAIN
1632 CRESCENT RD
LAWRENCE KS 66044

Officer/Director/Trustee Three

KATHLEEN WILLIS
DIRECTOR
15418 W 81ST STREET
LENEXA KS 66219

Officer/Director/Trustee Four

LISA BLACKSTOCK
SECRETARY TREASURER
PO BOX 19498
LENEXA KS 66285

Officer/Director/Trustee Five

MICHAEL COSTELLO
DIRECTOR
14705 REEDS ROAD
OVERLAND PARK KS 66223

Organization’s website WWW.GRATIAPLENAKS.ORG
Organization’s email KFOX@GRATIAPLENAKS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/17
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: No
Religious: Yes
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 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 LISA BLACKSTOCK
Signature Title SECRETARY TREASURER
Signature Date 3/10/18

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