FORM 1023-EZ for KMS-4-KIDS

Field Data
EIN 27-0073024
Case Number EO-2015056-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KMS-4-KIDS
Organization’s Mailing Address 302 N 15 ST
City KERKHOVEN
State MN
ZIP 56252
Accounting period End 12
Primary contact name PAM MANSFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIELLE HAATS
DIRECTOR
10833 210TH AVE NW
PENNOCK MN 56279

Officer/Director/Trustee Two

ERICA HENRY
DIRECTOR
475 130TH AVE SE
MURDOCK MN 56271

Officer/Director/Trustee Three

TARA OLSON
DIRECTOR
PO BOX 125
PENNOCK MN 56279

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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