FORM 1023-EZ for KICKIN IT FORWARD INC

Field Data
EIN 35-2671885
Case Number EO-2020077-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KICKIN IT FORWARD INC
Organization’s Mailing Address 2371 COUNTY RD B32
City FORT ATKINSON
State IA
ZIP 52144
Accounting period End 12
Primary contact name DONNA VAN SICKLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLE STEFFENS
PRESIDENT
2371 COUNTY RD B32
FORT ATKINSON IA 52144

Officer/Director/Trustee Two

DONNA VAN SICKLE
TREASURER
24183 W AVE
WAUCOMA IA 52171

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/2019
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
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 DONNA VAN SICKLE
Signature Title TREASURER
Signature Date 3/13/2020

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