FORM 1023-EZ for BUENA AGUA

Field Data
EIN 47-4388600
Case Number EO-2015258-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUENA AGUA
Organization’s Mailing Address 9516 NW 87TH TERRACE
City KANSAS CITY
State MO
ZIP 64153
Accounting period End 12
Primary contact name RYAN GARDNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RYAN GARDNER
PRESIDENT
9516 NW 87TH TER
KANSAS CITY MO 64153

Officer/Director/Trustee Two

SEAN TOKIC
VICE PRESIDENT
408 W 8TH ST APT 406
KANSAS CITY MO 64105

Officer/Director/Trustee Three

JOHN HEDDENS
OPERATIONS DIRECTOR
405 E 61ST ST
KANSAS CITY MO 64110

Organization’s website BUENAAGUA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K01 - Alliance/Advocacy Organizations
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 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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