FORM 1023-EZ for KANSAS PODIATRIC MEDICAL ASSOCIATION

Field Data
EIN 10-0697205
Case Number EO-2017234-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KANSAS PODIATRIC MEDICAL ASSOCIATION
Organization’s Mailing Address 1603 SW 37TH ST
City TOPEKA
State KS
ZIP 66611-2645
Accounting period End 5
Primary contact name SCOTT MCKENZIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON MORGAN
PRESIDENT
12112 W KELLOGG ST
WICHITA KS 67235-1100

Officer/Director/Trustee Two

STEVE GEDULDIG
SECRETARY / TREASURER
8550 MARSHAL DR SUITE 120
OVERLAND PARK KS 66214-9836

Officer/Director/Trustee Three

MARK LANDRY
PAST PRESIDENT
10550 QUIVIRA RD
LENEXA KS 66215-2375

Officer/Director/Trustee Four

CORIN WILDE
PRESIDENT ELECT
407 E CENTENNIAL DR
PITTSBURG KS 66762-6505

Officer/Director/Trustee Five

SCOTT MCKENZIE
EXECUTIVE SECRETARY
1603 SW 37TH ST
TOPEKA KS 66611-2645

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/1961
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 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 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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