FORM 1023-EZ for KERIS KIDS

Field Data
EIN 82-4985607
Case Number EO-2018141-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KERIS KIDS
Organization’s Mailing Address 1535 FARMERS LANE 129
City SANTA ROSA
State CA
ZIP 95405
Accounting period End 12
Primary contact name KERI VELIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KERI VELIS
PRESIDENT
1535 FARMERS LANE 129
SANTA ROSA CA 95405

Officer/Director/Trustee Two

SANDY HERNANDEZ
VICE PRESIDENT
1535 FARMERS LANE 129
SANTA ROSA CA 95405

Officer/Director/Trustee Three

KELLY ELWARDS
SECRETARY
1535 FARMERS LANE 129
SANTA ROSA CA 95405

Organization’s website WWW.KERISKIDS.NET
Organization’s email KERIV7@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 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 KERI VELIS
Signature Title PRESIDENT
Signature Date 5/16/18

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