FORM 1023-EZ for KOBE FARM COMMUNITY

Field Data
EIN 83-2962145
Case Number EO-2019031-000404
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KOBE FARM COMMUNITY
Organization’s Mailing Address HC1 BOX 5017
City HEALY
State AK
ZIP 99743-9505
Accounting period End 12
Primary contact name DOROTHY DEBLAUW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS DEBLAUW
OFFICER - PRESIDENT
1424 BIRCHWOOD DRIVE
FAIRBANKS AK 99709-2631

Officer/Director/Trustee Two

DOROTHY DEBLAUW
OFFICER-TREASURER
HC1 BOX 5017
HEALY AK 99743-9505

Officer/Director/Trustee Three

DONALD DEBLAUW
CHAIRPERSON OF THE GOVERNING BODY
HC1 BOX 5017
HEALY AK 99743-9505

Officer/Director/Trustee Four

BRUCE HAMILTON
OFFICER - VICE PRESIDENT
138 FAREWELL AVENUE
FAIRBANKS AK 99701-3628

Officer/Director/Trustee Five

SAMUEL DEBLAUW
VOTING MEMBER OF THE GOVERNING BODY
PO BOX 81892
FAIRBANKS AK 99708-1892

Organization’s website N/A
Organization’s email THEDEBLAUWS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/18
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S32 - Rural Development
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 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 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 DOROTHY DEBLAUW
Signature Title OFFICER-TREASURER
Signature Date 1/2/19

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