FORM 1023-EZ for ISC2 KANSAS CITY CHAPTER LTD

Field Data
EIN 47-5678840
Case Number EO-2016190-000574
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ISC2 KANSAS CITY CHAPTER LTD
Organization’s Mailing Address 14412 W 139TH TER
City OLATHE
State KS
ZIP 66062
Accounting period End 12
Primary contact name BRITNEY HOMMERTZHEIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH SHAW
PRESIDENT
PO BOX 432
GRANDVIEW MO 64030

Officer/Director/Trustee Two

ERIC WALTERS
VICE PRESIDENT
9447 W 258TH TERRACE
OVERLAND PARK KS 66221

Officer/Director/Trustee Three

BRITNEY HOMMERTZHEIM
SECRETARY
9508 W 116TH TERRACE
OVERLAND PARK KS 66210-3120

Officer/Director/Trustee Four

YORAM DVORETZ
TREASURER
14412 W 139TH TERRACE
OLATHE KS 66062

Officer/Director/Trustee Five

DERIN BEECHNER
MEMBERSHIP CHAIR
6725 W 52ND PL APT 2B
MISSION KS 66202-1520

Organization’s website N/A
Organization’s email ISC2KCCHAPTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2015
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - 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 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
Signature Title
Signature Date

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