FORM 1023-EZ for KICX FOR KIDS

Field Data
EIN 82-0691200
Case Number EO-2017072-000227
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KICX FOR KIDS
Organization’s Mailing Address 2366 PLAYA WAY
City GOLD RIVER
State CA
ZIP 95670
Accounting period End 12
Primary contact name RONNY SINGLEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONNY SINGLEMAN
EXECUTIVE DIRECTOR
2366 PLAYA WAY
GOLD RIVER CA 95670

Officer/Director/Trustee Two

SYLVIA SINGLEMAN
TREASURER
2366 PLAYA WAY
GOLD RIVER CA 95670

Officer/Director/Trustee Three

CHRIS KANG
ACTIVITIES DIRECTOR
538 SHOUSE AVENUE
COVINA CA 91724

Officer/Director/Trustee Four

FRANK YAN
SECRETARY
2112 60TH AVENUE
SACRAMENTO CA 95822

Organization’s website WWW.KICXFORKIDS.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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 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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