FORM 1023-EZ for KANSAS CITY ASSOCIATION OF INSURANCE AGENTS

Field Data
EIN 82-0780661
Case Number EO-2017075-000549
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KANSAS CITY ASSOCIATION OF INSURANCE AGENTS
Organization’s Mailing Address C/O TRUSS 4551 W 107TH ST 300
City OVERLAND PARK
State KS
ZIP 66207
Accounting period End 12
Primary contact name REBECCA SPEAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN O BRIEN
PRESIDENT
11225 COLLEGE BLVD SUITE 210
OVERLAND PARK KS 66210

Officer/Director/Trustee Two

SARAH SHIELDS
VICE PRESIDENT
444 W 47TH ST SUITE 900
KANSAS CITY MO 64112

Officer/Director/Trustee Three

REBECCA SPEAKE
SECRETARY/TREASURER
4551 W 107TH ST SUITE 300
OVERLAND PARK KS 66207

Officer/Director/Trustee Four

JOHN MILLS
DIRECTOR
9393 W 110TH ST SUITE 600
OVERLAND PARK KS 66210

Officer/Director/Trustee Five

KYLEE HEUSI
DIRECTOR
1828 WALNUT ST SUITE 701
KANSAS CITY MO 64108

Organization’s website WWW.KCAIA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2017
Organization Incorporation State MO
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: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
One Third Support Gifts No
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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