FORM 1023-EZ for OUR KAIROS

Field Data
EIN 47-4679694
Case Number EO-2015257-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OUR KAIROS
Organization’s Mailing Address 28306 ATLEY COURT
City SAUGUS
State CA
ZIP 91350
Accounting period End 6
Primary contact name JENNIFER CLUTARIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER CLUTARIO
PRESIDENT
28306 ATLEY COURT
SAUGUS CA 91350

Officer/Director/Trustee Two

PAMELA PAYAWAL
TREASURER
272 NORTH CHESTER UNIT 102
PASADENA CA 91106

Officer/Director/Trustee Three

ALFE BRIMON
SECRETARY
19530 LARODA LN
SAUGUS CA 91350

Organization’s website
Organization’s email OURKAIROS.PHP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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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