FORM 1023-EZ for CAMP RISE KC

Field Data
EIN 84-4371743
Case Number EO-2020023-000475
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMP RISE KC
Organization’s Mailing Address 6816 ROCKHILL ROAD
City KANSAS CITY
State MO
ZIP 64131
Accounting period End 1
Primary contact name KATHERINE MCCALLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY MCCALLA
TREASURER
6816 ROCKHILL ROAD
KANSAS CITY MO 64131

Officer/Director/Trustee Two

MEGAN MOZLEY
VICE PRESIDENT
700 EAST 8TH STREET
KANSAS CITY MO 64106

Officer/Director/Trustee Three

KATHERINE MCCALLA
PRESIDENT
6816 ROCKHILL ROAD
KANSAS CITY MO 64131

Officer/Director/Trustee Four

LAURIE MOZLEY
SECRETARY
22310 NE COLBERN ROAD
LEE'S SUMMIT MO 64086

Officer/Director/Trustee Five

JEFF DUTZEL
BOARD MEMBER
212 SE BATTERY DRIVE
LEE'S SUMMIT MO 64063

Organization’s website CAMPRISEKC.COM
Organization’s email CAMPRISEKC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2019
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
Organization’s purpose Charitable: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 KATHERINE MCCALLA
Signature Title PRESIDENT
Signature Date 1/21/2020

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