FORM 1023-EZ for LEAVENWORTH COMMUNITY SERVICE ORGANIZATION INC

Field Data
EIN 45-4839014
Case Number EO-2019176-000307
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEAVENWORTH COMMUNITY SERVICE ORGANIZATION INC
Organization’s Mailing Address 1101 WELLINGTON DRIVE
City LEAVENWORTH
State KS
ZIP 66048
Accounting period End 9
Primary contact name RONALD COAXUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONALD W COAXUM
PRESIDENT
1101 WELLINGTON DRIVE
LEAVENWORTH KS 66048

Officer/Director/Trustee Two

RICHARD E JACKSON
VICE PRESIDENT
211 POTAWATOMIE STREET
LEAVENWORTH KS 66048

Officer/Director/Trustee Three

LAURA J COAXUM
SECRETARY
1101 WELLINGTON DRIVE
LEAVENWORTH KS 66048

Officer/Director/Trustee Four

MARCIA JACKSON
TREASURER
679 MICHIGAN
LEAVENWORTH KS 66048

Organization’s website
Organization’s email RWCOAXUM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/12
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 RONALD W COAXUM
Signature Title PRESIDENT
Signature Date 6/20/19

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