FORM 1023-EZ for WESTERN UNIVERSITY ASSOCIATION

Field Data
EIN 61-1412320
Case Number EO-2016305-000503
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN UNIVERSITY ASSOCIATION
Organization’s Mailing Address 3421 NORTH 29TH STREET
City KANSAS CITY
State KS
ZIP 66104
Accounting period End 12
Primary contact name GAIL VERTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACY EVANS
CO-CHAIR
3421 NORTH 29TH STREET
KANSAS CITY KS 66104

Officer/Director/Trustee Two

DONALD JONES
CO-CHAIR
11814 DELEVAN AVENUE
KANSAS CITY KS 66209

Officer/Director/Trustee Three

LUTHER SMITH
TREASURER
2906 NORTH 59TH STREET
KANSAS CITY KS 66104

Officer/Director/Trustee Four

CEDRIC PATTON
SECRETARY
3074 NORTH 33RD STREET
KANSAS CITY KS 66104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1982
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
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 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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