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Addition to Exemption Application Humanitarian …

Addition to Exemption KSA 79-201 Ninth Page 1 of 2 Revised 7/14 Applicant Name: _____ Docket No. _____ Addition to Exemption Application Humanitarian Service Provider 79-201 Ninth 1. Name of the community service organization. _____ 2. Name and address of related organizations. _____ 3. Are the directors compensated for the service as directors? _____No _____Yes If yes, indicate the nature of the compensation. _____ _____ 4. Do any of the members, officers, or directors have a financial interest in the property? _____No _____Yes 5. What service or services are being offered to the community? _____ _____ 6. Is there a demonstrated need for these services to the general public? How did you determine that the services were needed in your community or area? (a) Why is this service needed, , how will the general public benefit from the service? (b) Do the services provided meet this need?

Addition to Exemption KSA 79-201 Ninth Page 2 of 2 Revised 7/14 Enclose: a. A copy of the IRS designation letter showing exemption pursuant to I.R.C. §501(c)(3).

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