FORM 1023-EZ for OMICRON XI FOUNDATION
| Field | Data |
|---|---|
| EIN | 43-1739951 |
| Case Number | EO-2017170-000315 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | OMICRON XI FOUNDATION |
| Organization’s Mailing Address | 2420 E LINWOOD BLVD STE 201 |
| City | KANSAS CITY |
| State | MO |
| ZIP | 64109 |
| Accounting period End | 12 |
| Primary contact name | ERNEST MIDDLETON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ERNEST MIDDLETON
PRESIDENT
313 NE HIDDON VALLEY WAY
LEES SUMMIT MO 64064
Officer/Director/Trustee Two
RAY EDGERSON
VICE PRESIDENT
8417 HAWTHORNE PLACE
RAYTOWN MO 64138
Officer/Director/Trustee Three
BEN SUBER
SECRETARY
5112 S MCCOY
INDEPENDENCE MO 64055
Officer/Director/Trustee Four
DARRICK JONES
TREASURER
1603 PINE CREEK COURT
RAYMORE MO 64055
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/19/1995 |
| Organization Incorporation State | MO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B83 - Student Sororities, Fraternities |
| 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 | 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 | 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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