FORM 1023-EZ for GREATER KANSAS CITY MEDICAL SOCIETYINC

Field Data
EIN 26-2166215
Case Number EO-2016147-000349
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREATER KANSAS CITY MEDICAL SOCIETYINC
Organization’s Mailing Address 3550 S 4TH STREET SUITE 120
City LEAVENWORTH
State KS
ZIP 66048
Accounting period End 12
Primary contact name VERNON A MILLS MD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LESLIE FIELDS MD
PRESIDENT
4401 WORNALL ROAD
KANSAS CITY MO 64111

Officer/Director/Trustee Two

MEENA SINGH MD
VICE PRESIDENT
6333 LONG AVENUE SUITE 360
SHAWNEE KS 66216

Officer/Director/Trustee Three

CYMANTHIA CONNELL MD
SECRETARY
3027 PROSPECT AVENUE
KANSAS CITY MO 64126

Officer/Director/Trustee Four

VERNON A MILLS MD
TREASURER
3550 SOUTH 4TH STREET SUITE 120
LEAVENWORTH KS 66048

Officer/Director/Trustee Five

ELEANOR LISON MD
PAST PRESIDENT
3901 RAINBOW BOULEVARD
KANSAS CITY KS 66160

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2008
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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