FORM 1023-EZ for PIPER ADULT BOOSTER CLUB

Field Data
EIN 48-1183244
Case Number EO-2020225-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIPER ADULT BOOSTER CLUB
Organization’s Mailing Address 4400 NORTH 107TH STREET
City KANSAS CITY
State KS
ZIP 66109
Accounting period End 6
Primary contact name DANELL COLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANELL COLLINS
PRESIDENT
3400 NORTH 115TH STREET
KANSAS CITY KS 66109

Officer/Director/Trustee Two

HEATHER VAS
VICE PRESIDENT
4705 CANAAN LAKE CIRCLE
KANSAS CITY KS 66109

Officer/Director/Trustee Three

EDDIE COLLINS
TREASURER
3400 NORTH 115TH STREET
KANSAS CITY KS 66109

Officer/Director/Trustee Four

REGINA UTTER
SECRETARY
3751 NORTH 112TH COURT
KANSAS CITY KS 66109

Organization’s website
Organization’s email PIPERBOOSTERCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2004
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 DANELL COLLINS
Signature Title PRESIDENT
Signature Date 8/10/2020

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