FORM 1023-EZ for KANSAS NUGGETS INC

Field Data
EIN 84-4296006
Case Number EO-2020021-000495
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KANSAS NUGGETS INC
Organization’s Mailing Address 13729 LAWRENCE ST
City BONNER SPRINGS
State KS
ZIP 66012
Accounting period End 12
Primary contact name KELLEY NEWTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLEY NEWTON
PRESIDENT, DIRECTOR
21914 W 51ST PL
SHAWNEE KS 66226

Officer/Director/Trustee Two

NATALIE SAMPSON
SECRETARY, DIRECTOR
2726 N 44TH ST
KANSAS CITY KS 66104

Officer/Director/Trustee Three

DORETHA HENRY
TREASURER, DIRECTOR
6412 ELM AVE
RAYTOWN MO 64133

Officer/Director/Trustee Four

TRINITY HALL
DIRECTOR
6130 W 51ST ST APT 6
MISSION KS 66202

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/2013
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 KELLEY NEWTON
Signature Title PRESIDENT, DIRECTOR
Signature Date 1/17/2020

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