FORM 1023-EZ for KANSAS CITY WARRIORS ICE HOCKEY PROGRAM

Field Data
EIN 84-4492582
Case Number EO-2020043-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KANSAS CITY WARRIORS ICE HOCKEY PROGRAM
Organization’s Mailing Address 521 SE LINDEN DR
City BLUE SPRINGS
State MO
ZIP 64014
Accounting period End 12
Primary contact name MATTHEW LAWSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW LAWSON
EXECUTIVE DIRECTOR
521 SE LINDEN DR
BLUE SPRINGS MO 64014

Officer/Director/Trustee Two

DOUGLAS HORN
SECRETARY
19049 EAST VALLEYVIEW PKWY STE J
INDEPENDENCE MO 64055

Officer/Director/Trustee Three

AUSTIN SHCOEN
TREASURER
912 NW HEATHERWOOD DR
BLUE SPRINGS MO 64014

Organization’s website WWW.KCWARRIORS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 MATTHEW LAWSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/10/2020

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