FORM 1023-EZ for AUSTIN HEALEY CONCOURS REGISTRY

Field Data
EIN 81-5189431
Case Number EO-2017132-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUSTIN HEALEY CONCOURS REGISTRY
Organization’s Mailing Address 39 EAST 55TH TERRACE
City KANSAS CITY
State MO
ZIP 64113
Accounting period End 12
Primary contact name MICHAEL OSIPIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CURT ARNDT
CONCOURS REGISTRY COMMITTEE CHAIR
3215 VIA CAJITA
CARLSBAD CA 92010

Officer/Director/Trustee Two

MIKE OSIPIK
TREASURER
39 EAST 55TH TERRACE
KANSAS CITY MO 64113

Officer/Director/Trustee Three

RANDALL HICKS
PUBLISHER, BIG HEALEY GUIDELINES
7 SEAWITCH DRIVE
SAVANNAH GA 31411

Organization’s website NONE
Organization’s email MIKEOSIPIK@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B02 - Management & Technical Assistance
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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