FORM 1023-EZ for KYLE C MILLER SHOES FOR KIDS INC

Field Data
EIN 84-1816234
Case Number EO-2019352-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KYLE C MILLER SHOES FOR KIDS INC
Organization’s Mailing Address 588 WICKHAM WAY
City GAHANNA
State OH
ZIP 43230
Accounting period End 12
Primary contact name ERIC MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC MILLER
PRESIDENT AND DIRECTOR
588 WICKHAM WAY
GAHANNA OH 43230

Officer/Director/Trustee Two

JASON SOUDER
TREASURER AND DIRECTOR
7698 N GOODRICH SQ
NEW ALBANY OH 43054

Officer/Director/Trustee Three

TY DEBEVOISE
SECRETARY AND DIRECTOR
794 EDDYSTONE AVE
COLUMBUS OH 43224

Officer/Director/Trustee Four

KEVIN MILLER
DIRECTOR
862 SOUTH REMINGTON RD
BEXLEY OH 43029

Officer/Director/Trustee Five

ERICA BUSH
DIRECTOR
11633 HUNTINGTON WAY
PICKERINGTON OH 43147

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 ERIC MILLER
Signature Title PRESIDENT AND DIRECTOR
Signature Date 12/16/2019

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