FORM 1023-EZ for SUMMER ASSEMBLY CAMP INC

Field Data
EIN 45-3023087
Case Number EO-2017114-000381
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUMMER ASSEMBLY CAMP INC
Organization’s Mailing Address 1907 WESBROOK CIRCLE
City HUTCHINSON
State KS
ZIP 67502-2640
Accounting period End 12
Primary contact name ROY NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROY NELSON
PRESIDENT CHAIRMAN
1907 WESBROOK CIRCLE
HUTCHINSON KS 67502

Officer/Director/Trustee Two

PAT MCCALEB
TREASURER
408 EAST 7TH
HUTCHINSON KS 67501

Officer/Director/Trustee Three

KAREN NELSON
SECRETARY
1907 WESBROOK CIRCLE
HUTCHINSON KS 67502

Officer/Director/Trustee Four

PENNI FUNK
VOTING MEMBER
115 NORTH LINCOLN
HILLSBORO KS 67063

Officer/Director/Trustee Five

SUSAN CUNNINGHAM
VICE CHAIRPERSON
422 RICE ROAD
SILVER LAKE KS 66539

Organization’s website WWW.SUMMERASSEMBLYCAMP.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2011
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 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
Signature Title
Signature Date

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