FORM 1023-EZ for ATCHISON JAZZ EXPRESS INC

Field Data
EIN 81-1126457
Case Number EO-2016020-000503
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ATCHISON JAZZ EXPRESS INC
Organization’s Mailing Address 2456 RACCOON ROAD
City ROBINSON
State KS
ZIP 66532
Accounting period End 12
Primary contact name DEAN LANIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROGER TOLLEFSON
PRESIDENT
2456 RACCOON ROAD
ROBINSON KS 66532

Officer/Director/Trustee Two

MICHAEL SEVCIK
VICE PRESIDENT
18124 EISENHOWER ROAD
LEAVENWORTH KS 66048

Officer/Director/Trustee Three

JEANNE LANIER
SECRETARY
4408 LAKEVIEW DRIVE
LEAVENWORTH KS 66048

Officer/Director/Trustee Four

KAREN SOYLAND
TREASURER
2456 RACCOON ROAD
ROBINSON KS 66532

Organization’s website
Organization’s email ATCHJAZZEXP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2015
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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
Signature Title
Signature Date

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