FORM 1023-EZ for BOYS AND GIRLS CLUB OF LABETTE COUNTY KANSAS INC

Field Data
EIN 47-1877563
Case Number EO-2015027-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOYS AND GIRLS CLUB OF LABETTE COUNTY KANSAS INC
Organization’s Mailing Address 1900 BELMONT
City PARSONS
State KS
ZIP 67357
Accounting period End 1
Primary contact name KAREN MADDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAPANA DIXIT
BOARD MEMBER
1902 S HWY 59
PARSONS KS 67357

Officer/Director/Trustee Two

MACLAIRE OKIE
BOARD MEMBER
1510 BROADWAY
PARSONS KS 67357

Officer/Director/Trustee Three

MORGAN WEBB
BOARD MEMBER
2728 CRAWFORD
PARSONS KS 67357

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2014
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O23 - Boys and Girls Clubs (Combined)
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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