FORM 1023-EZ for ADNP KIDS RESEARCH FOUNDATION

Field Data
EIN 30-0964243
Case Number EO-2017081-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADNP KIDS RESEARCH FOUNDATION
Organization’s Mailing Address 24500 NE 132ND CIRCLE
City BRUSH PRAIRIE
State WA
ZIP 98606
Accounting period End 5
Primary contact name SANDRA SERMONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA SERMONE
PRESIDENT/FOUNDER
24500 NE 132ND CIRCLE
BRUSH PRAIRIE WA 98606

Officer/Director/Trustee Two

ANGELA DOWNING
VICE PRESIDENT
2223 BECHENHAM DRIVE
MOUNT PLEASANT SC 29466

Officer/Director/Trustee Three

ABBY ZAFFUTO
SECRETARY
4 OLD HOUSE WAY
SIMPSONVILLE SC 29466

Officer/Director/Trustee Four

PENNY FITZMAURICE
TREASURER
930 SW SKYLINE DRIVE
PORTLAND OR 97221

Officer/Director/Trustee Five

GENIE EGERTON-WARBURTON
DIRECTOR AT LARGE
511 HEAD OF POND ROAD
WATERMILL NY 11976

Organization’s website WWW.ADNPKIDSRESEARCHFOUNDATION.ORG
Organization’s email ADNPKIDS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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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