FORM 1023-EZ for KERENS KIDS YOUTH ORGANIZATION

Field Data
EIN 81-4519168
Case Number EO-2017040-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KERENS KIDS YOUTH ORGANIZATION
Organization’s Mailing Address 504 JIMLOT ST
City KERENS
State TX
ZIP 75144
Accounting period End 11
Primary contact name ERIC JAMES FAULK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC FAULK
CHIEF EXECTUTIVE OFFCER
504 JIMLOT ST
KERENS TX 75144

Officer/Director/Trustee Two

JAMES FAULK
SECRETARY
504 JIMLOT ST
KERENS TX 75144

Officer/Director/Trustee Three

TIMOTHY MELTON
EXECTUTIVE DIRECTOR
101 N THROCKMORTON
KERENS TX 75144

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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
Signature Title
Signature Date

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