FORM 1023-EZ for KIZZYS PLACE INC

Field Data
EIN 81-3312159
Case Number EO-2016221-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIZZYS PLACE INC
Organization’s Mailing Address 196 CENTRAL AVENUE
City METUCHEN
State NJ
ZIP 08840
Accounting period End 12
Primary contact name SUSAN N CARUSO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAKE MARTIN
PRESIDENT
2945 S UNION RD
VINELAND NJ 08361

Officer/Director/Trustee Two

SUSAN N CARUSO
VICE PRESIDENT FINANCE
196 CENTRAL AVE
METUCHEN NJ 08840

Officer/Director/Trustee Three

AMANDA MARTIN
VICE PRESIDENT OPERATIONS
2945 S UNION RD
VINELAND NJ 08361

Officer/Director/Trustee Four

SUSAN N CARUSO
TREASURER
196 CENTRAL AVE
METUCHEN NJ 08840

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2016
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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
Signature Title
Signature Date

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