FORM 1023-EZ for NORTH LYON COUNTY VETERANS MEMORIAL

Field Data
EIN 81-2935167
Case Number EO-2018129-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH LYON COUNTY VETERANS MEMORIAL
Organization’s Mailing Address 219 E 3RD ST
City BUSHONG
State KS
ZIP 66833
Accounting period End 12
Primary contact name DIANNE SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANNE SMITH
PRESIDENT/TRESURER
219 E 3RD ST
BUSHONG KS 66833

Officer/Director/Trustee Two

GEORGANNA CUSHING
VICE-PRESIDENT
3458 RD H2
ALLEN KS 66833

Officer/Director/Trustee Three

DONALD JOHNSON
BOARD MEMBER
1604 RD 190
EMPORIA KS 66801

Officer/Director/Trustee Four

THOMAS CUSHING
BOARD MEMBER
3458 RD H2
ALLEN KS 66833

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/17
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' 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 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 DIANNE SMITH
Signature Title PRESIDENT/TRESURER
Signature Date 4/27/18

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