FORM 1023-EZ for DEVORE COMMUNITY SWIMMING POOL ASSOCIATION

Field Data
EIN 48-1248321
Case Number EO-2020111-000096
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEVORE COMMUNITY SWIMMING POOL ASSOCIATION
Organization’s Mailing Address PO BOX 233
City ESKRIDGE
State KS
ZIP 66423
Accounting period End 12
Primary contact name HANNA RUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARI WARREN
BOARD PRESIDENT
19293 K99 HWY
ESKRIDGE KS 66423

Officer/Director/Trustee Two

LADEEN ALLEN
BOARD VICE PRESIDENT
15482 HWY K4
MAPLE HILL KS 66507

Officer/Director/Trustee Three

HANNA RUSH
BOARD TREASURER
207 E 3RD AVE
ESKRIDGE KS 66423

Officer/Director/Trustee Four

TRACI HENRY
BOARD SECRETARY
503 S CEDAR ST
ESKRIDGE KS 66423

Officer/Director/Trustee Five

AUTUMN BOHN
HR OFFICER
15683 K99 HWY
ESKRIDGE KS 66423

Organization’s website
Organization’s email DEVORESWIMMINGPOOL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2000
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name KARI WARREN
Signature Title BOARD PRESIDENT
Signature Date 4/16/2020

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