FORM 1023-EZ for KANSAS ASSOCIATION OF ORIENTAL MEDICINE

Field Data
EIN 90-0646476
Case Number EO-2015292-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KANSAS ASSOCIATION OF ORIENTAL MEDICINE
Organization’s Mailing Address 20622 NALL
City STILWELL
State KS
ZIP 66085
Accounting period End 12
Primary contact name SANDRA WILKES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SANDRA WILKES
PRESIDENT
20622 NALL
STILWELL KS 66085

Officer/Director/Trustee Two

KIMBERLEY VESTER-COUCH
VICE PRESIDENT
845 SOUTH MARTINSON
WICHITA KS 67213

Officer/Director/Trustee Three

SUE HARRIS
SECRETARY
1339 VEACH STREET
KINGMAN KS 67068

Officer/Director/Trustee Four

MARK PERIDO
TREASURER
11810 S SHANNON APT 104
OLATHE KS 66062

Organization’s website KSAOM.ORG
Organization’s email TCMKSAOM@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2010
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 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 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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