FORM 1023-EZ for SOUTHERN KANSAS COUNTRY CLUB ASSOCIATION INC

Field Data
EIN 48-0494067
Case Number EO-2016221-000001
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN KANSAS COUNTRY CLUB ASSOCIATION INC
Organization’s Mailing Address 6000 W 87TH STREET
City OVERLAND PARK
State KS
ZIP 66207
Accounting period End 4
Primary contact name JUDY HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL BIXLER
PRESIDENT
18778 SW SANTA FE DRIVE
WELDA KS 66091

Officer/Director/Trustee Two

BILL REGAN
VICE-PRESIDENT
7920 BROCKWAY
SHAWNEE KS 66227

Officer/Director/Trustee Three

THOMAS MAMIE
VICE-PRESIDENT
3209 N 85TH STREET
KANSAS CITY KS 66109

Officer/Director/Trustee Four

THOMAS MAMIE JR
DIRECTOR
2206 N 83RD STREET
KANSAS CITY KS 66109

Officer/Director/Trustee Five

JUDY HILL
SECRETARY TRESURER
6000 W 87TH STREET
OVERLAND PARK KS 66207

Organization’s website NA
Organization’s email JUDYLYNN@KC.RR.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/1911
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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