FORM 1023-EZ for KAW VALLEY PUBLIC ACCESS DEFIBRILLATOR FOUNDATION

Field Data
EIN 84-3791321
Case Number EO-2019333-000118
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KAW VALLEY PUBLIC ACCESS DEFIBRILLATOR FOUNDATION
Organization’s Mailing Address 18201 98TH ROAD
City MERIDEN
State KS
ZIP 66512-9468
Accounting period End 12
Primary contact name TAMMY TIPTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY TIPTON
PRESIDENT
18201 98TH ROAD
MERIDEN KS 66512-9468

Officer/Director/Trustee Two

JAMES LASSETER
VICE PRESIDENT
7121 SW 61ST STREET
TOPEKA KS 66610-9049

Officer/Director/Trustee Three

AMBER JUDD
TREASURER
9020 NW TOPEKA BOULEVARD
TOPEKA KS 66617-2004

Officer/Director/Trustee Four

DAVID JACKSON
SECRETARY
1700 SW 7TH STREET
TOPEKA KS 66606-2489

Organization’s website
Organization’s email TAMMY.TIPTON@BCBSKS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/19
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion 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 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 TAMMY TIPTON
Signature Title PRESIDENT
Signature Date 11/26/19

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