FORM 1023-EZ for 20TH AND KENTUCKY CORP

Field Data
EIN 84-4938415
Case Number EO-2020064-000307
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 20TH AND KENTUCKY CORP
Organization’s Mailing Address 3716 HAVEN AVE
City RACINE
State WI
ZIP 53405
Accounting period End 12
Primary contact name DANIEL CARBAJAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL CARBAJAL
FOUNDER
3716 HAVEN AVE
RACINE WI 53405-2453

Officer/Director/Trustee Two

LAUREN CARBAJAL
OFFICER
3716 HAVEN AVE
RACINE WI 53405-2453

Officer/Director/Trustee Three

JOSE CARBAJAL
OFFICER
S107W17011 MUSKEGO DAM DR
MUSKEGO WI 53150-5505

Organization’s website WWW.20THANDKENTUCKY.ORG
Organization’s email DAN@20THANDKENTUCKY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANIEL CARBAJAL
Signature Title FOUNDER
Signature Date 3/2/2020

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