FORM 1023-EZ for LANCASTER-MELTON PEACE KEEPERS CIVITAN CLUB

Field Data
EIN 82-2595889
Case Number EO-2018140-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LANCASTER-MELTON PEACE KEEPERS CIVITAN CLUB
Organization’s Mailing Address 22403 W 46TH TERRACE
City SHAWNEE
State KS
ZIP 66226
Accounting period End 12
Primary contact name TERRA MOREHEAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZETA BATES
PRESIDENT
2069 S 137TH STREET
BONNER SPRINGS KS 66012

Officer/Director/Trustee Two

DANA BYE
PRESIDENT ELECT
10708 AUGUSTA DRIVE
KANSAS CITY KS 66109

Officer/Director/Trustee Three

TERRA MOREHEAD
SECRETARY
3729 N 67TH STREET
KANSAS CITY KS 66104

Officer/Director/Trustee Four

JOHN BATES
TREASURER
22403 W 46TH TERRACE
SHAWNEE KS 66226

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/18
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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 TERRA MOREHEAD
Signature Title SECRETARY
Signature Date 5/15/18

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