FORM 1023-EZ for LINDSBORG AT WORK ASSOCIATION
| Field | Data |
|---|---|
| EIN | 82-3830433 |
| Case Number | EO-2018004-000193 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LINDSBORG AT WORK ASSOCIATION |
| Organization’s Mailing Address | C/O PO BOX 363 |
| City | LINDSBORG |
| State | KS |
| ZIP | 67456 |
| Accounting period End | 12 |
| Primary contact name | SUSAN J WHITFIELD-HARDING |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DAVID HAY
BOARD MEMBER
422 N MCKINLEY ST
LINDSBORG KS 67456
Officer/Director/Trustee Two
MIKE DREIER
BOARD MEMBER
204 PINE COURT
LINDSBORG KS 67456
Officer/Director/Trustee Three
RYAN BIEGERT
BOARD MEMBER
734 N 1ST STREET
LINDSBORG KS 67456
Officer/Director/Trustee Four
MEGAN GALLUCCI
BOARD MEMBER
213 N SWEDONIA STREET
MARQUETTE KS 67456
Officer/Director/Trustee Five
COREY PETERSON
BOARD MEMBER
30 WILLOW LAKE DR
LINDSBORG KS 67456
| Organization’s website | NONE |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/14/17 |
| Organization Incorporation State | KS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S99 - Community Improvement, Capacity Building N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: Yes 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 | 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 | DAVID HAY |
| Signature Title | BOARD MEMBER |
| Signature Date | 1/2/18 |
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