FORM 1023-EZ for PUNCHIN OUT PARKINSONS CENTRAL KANSAS INC

Field Data
EIN 84-3639616
Case Number EO-2019319-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUNCHIN OUT PARKINSONS CENTRAL KANSAS INC
Organization’s Mailing Address 600 E ELM
City SALINA
State KS
ZIP 67401
Accounting period End 12
Primary contact name KALLIE BURGARDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KALLIE BURGARDT
PRESIDENT
2029 LYNWOOD DR
SALINA KS 67401

Officer/Director/Trustee Two

JACQUE BACKHUS
SECRETARY
6200 W STATE ST
SALINA KS 67401

Officer/Director/Trustee Three

KIMBERLY RAYAS
TREASURE
2363 CHAPLE RIDGE PL APT 22H
SALINA KS 67401

Organization’s website CENTRALKS.RSBAFFILIATE.CO
Organization’s email CENTRALKS@RSBAFFILIATE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/19
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 KALLIE BURGARDT
Signature Title PRESIDENT
Signature Date 11/13/19

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