FORM 1023-EZ for COMBAT VETERANS MOTORCYCLE ASSOCIATION CHAPTER 21-3

Field Data
EIN 47-3084315
Case Number EO-2017270-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMBAT VETERANS MOTORCYCLE ASSOCIATION CHAPTER 21-3
Organization’s Mailing Address 9077 SW 115TH ST
City AUGUSTA
State KS
ZIP 67010-8779
Accounting period End 12
Primary contact name DONALD TIPTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD WILLCUTT
EXECUTIVE OFFICER
4516 SOUTH GREENSOOD ST
WICHITA KS 67216

Officer/Director/Trustee Two

JOHN FULLMAN
SECRETARY
2436 BONN
WICHITA KS 67217

Officer/Director/Trustee Three

JARROD TANNER
PUBLIC RELATIONS
332 WEST 33RD ST SOUTH
WICHITA KS 67217

Officer/Director/Trustee Four

JAMES BROWN
SERGEANT OF ARMS
228 N JEFFERSON AVENUE
WELLINGTON KS 67152

Officer/Director/Trustee Five

DONALD TIPTON
COMMANDER
9077 SW 115TH ST
AUGUSTA KS 67010

Organization’s website HTTP://WWW.KSCOMBATVET.ORG/ABOUT-21-3/
Organization’s email CVMA21.3@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2012
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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
Signature Title
Signature Date

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