FORM 1023-EZ for KANSAS CITY BOURBON AND WHISKEY CLUB

Field Data
EIN 85-0690926
Case Number EO-2020106-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KANSAS CITY BOURBON AND WHISKEY CLUB
Organization’s Mailing Address 16503 GREENWALD CT
City BELTON
State MO
ZIP 64012
Accounting period End 12
Primary contact name T
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACEY DAWSON
CO-FOUNDER / VICE PRESIDENT
16503 GREENWALD CT
BELTON MO 64012

Officer/Director/Trustee Two

ROBERT BROWN
CO-FOUNDER / SECRETARY
8804 NE 89TH STREET
KANSAS CITY MO 64157

Officer/Director/Trustee Three

ISAAC ORTIZ
CO-FOUNDER / TREASURER
7301 BRYAN WAY
BELTON MO 64012

Officer/Director/Trustee Four

STEVE MEYER
CO-FOUNDER /ADVISORY COUNCIL
16505 GREENWALD CT
BELTON MO 64012

Officer/Director/Trustee Five

CORY MORTON
CO-FOUNDER / PRESIDENT
202 E 219TH TER
BELTON MO 64012

Organization’s website KCBOURBONANDWHISKEYCLUB.COM
Organization’s email KCBOURBONANDWHISKEYCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 TRACEY DAWSON
Signature Title CO-FOUNDER / VICE PRESIDENT
Signature Date 4/13/2020

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