FORM 1023-EZ for KATHYS KIDZ KORNER

Field Data
EIN 81-5034906
Case Number EO-2017270-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KATHYS KIDZ KORNER
Organization’s Mailing Address 13229 62ND DR SE
City EVERETT
State WA
ZIP 98208-9413
Accounting period End 12
Primary contact name KATHLEEN CHARLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN CHARLEY
CHAIRMAN OF THE BOARD
13229 62ND DR SE
EVERETT WA 98208-9413

Officer/Director/Trustee Two

DION COLE
VICE CHAIR
12834 SE 41ST LANE E202
BELLEVUE WA 98006-5283

Officer/Director/Trustee Three

MORGAN COLE
SECRETARY/TREASURER
12834 SE 41ST LANE E202
BELLEVUE WA 98006-5283

Organization’s website WWW.KATHYSKIDZKORNER.ORG
Organization’s email KKRUNCHIES@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2016
Organization Incorporation State WA
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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
Signature Title
Signature Date

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