FORM 1023-EZ for BLEEDING KANSAS INC

Field Data
EIN 47-3256427
Case Number EO-2016012-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLEEDING KANSAS INC
Organization’s Mailing Address 12416 WEST 102ND STREET
City LENEXA
State KS
ZIP 66215-1820
Accounting period End 12
Primary contact name LISA SUBLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA SUBLETT
PRESIDENT
12416 WEST 102ND STREET
LENEXA KS 66215-1820

Officer/Director/Trustee Two

CHRISTINE BAY
VICE PRESIDENT
11925 W 92ND STREET
LENEXA KS 66215-3815

Officer/Director/Trustee Three

RIC KOEHN
SECRETARY
PO BOX 468
CIMARRON KS 67835-0468

Officer/Director/Trustee Four

TRACY ROBLES
TREASURER
2202 S OLD MANOR RD
WICHITA KS 67218-5316

Officer/Director/Trustee Five

KELLY PATTON
BOARD MEMBER
648 S ROOSEVELT ST
WICHITA KS 67218-2036

Organization’s website WWW.JOINBLEEDINGKANSAS.WEBS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2015
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 Yes
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
Signature Title
Signature Date

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