FORM 1023-EZ for AMBASSADORS CLUB FOUNDATION INC

Field Data
EIN 82-3476152
Case Number EO-2021119-000173
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMBASSADORS CLUB FOUNDATION INC
Organization’s Mailing Address 11523 HADLEY
City OVERLAND PARK
State KS
ZIP 66210
Accounting period End 12
Primary contact name JACCI LEIB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN TUBBESING
PRESIDENT
5000 HASKINS STREET
SHAWNEE KS 66216

Officer/Director/Trustee Two

BILL MAHOOD
SECRETARY
900 W 48TH PLACE STE 900
KANSAS CITY MO 64112

Officer/Director/Trustee Three

AMBER GOERING
TREASURER
5829 MCCOY STREET
SHAWNEE KS 66226

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2017
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEVIN TUBBESING
Signature Title PRESIDENT
Signature Date 4/27/2021
EIN 82-3476152
Case Number EO-2017328-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMBASSADORS CLUB FOUNDATION INC
Organization’s Mailing Address 11523 HADLEY
City OVERLAND PARK
State KS
ZIP 66210
Accounting period End 12
Primary contact name WILLIAM W MAHOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM BROWN
PRESIDENT/DIRECTOR
5200 MANSFIELD LN
SHAWNEE KS 66203

Officer/Director/Trustee Two

RICK RANDOLPH
DIRECTOR
7745 ROSEHILL RD
LENEXA KS 66216

Officer/Director/Trustee Three

JACCI LEIB
DIRECTOR
14350 W 81ST PL
LENEXA KS 66215

Officer/Director/Trustee Four

STELPHANIE SAWYER CLAYTON
DIRECTOR
9825 WOODSON RD
OVERLAND PARK KS 66207

Officer/Director/Trustee Five

WILLIAM MAHOOD
DIRECTOR
11523 HADLEY
OVERLAND PARK KS 66210

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2017
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
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
Signature Title
Signature Date

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