FORM 1023-EZ for KIDS IN MOTION INC

Field Data
EIN 82-0655826
Case Number EO-2017292-000190
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIDS IN MOTION INC
Organization’s Mailing Address 101 SOUTH JONES STREET
City BARNEVELD
State WI
ZIP 53507
Accounting period End 12
Primary contact name KIMBERLY HORSFALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY HORSFALL
OWNER
101 SOUTH JONES STREET
BARNEVELD WI 53507

Officer/Director/Trustee Two

HOPE FRANCIS
SECRETARY
16909 MEYLOR LANE
DARLINGTON WI 53530

Officer/Director/Trustee Three

GREGORY WHITE
TREASURER
15890 CRIST LANE
DARLINGTON WI 53530

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C50 - Environmental Beautification and Aesthetics
Organization’s purpose Charitable: Yes
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 Yes
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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