FORM 1023-EZ for JAKE KIELBS HOCKEY FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-1488574 |
| Case Number | EO-2016056-000306 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | JAKE KIELBS HOCKEY FOUNDATION |
| Organization’s Mailing Address | 5240 ADORATO DRIVE |
| City | NORTH LAS VEGAS |
| State | NV |
| ZIP | 89031 |
| Accounting period End | 2 |
| Primary contact name | GINA KIELB |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
GINA KIELB
PRESIDENT
5240 ADORATO DRIVE
NORTH LAS VEGAS NV 89031
Officer/Director/Trustee Two
BRYAN TOUPE
VICE PRESIDENT
9745 GRAND TETON DRIVE UNIT 3044
LAS VEGAS NV 89166
Officer/Director/Trustee Three
SHEENA OLSEN
SECERTARY
828 EDURADO AVE
HENDERSON NV 89002
Officer/Director/Trustee Four
KAREN MILLER-ZINK
TREASURER
4616 SOPHIA WAY
NORTH LAS VEGAS NV 89032
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/10/2016 |
| Organization Incorporation State | NV |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N68 - Winter Sports (Snow and Ice) |
| 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 | Yes |
| 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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