FORM 1023-EZ for KIDZ OUTDOORS INC

Field Data
EIN 46-3317810
Case Number EO-2015028-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIDZ OUTDOORS INC
Organization’s Mailing Address 107 NORTH PARKWAY
City HUEYTOWN
State AL
ZIP 35023
Accounting period End 6
Primary contact name CAROL A CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROL CLARK
EXECUTIVE DIRECTOR
107 NORTH PARKWAY
HUEYTOWN AL 35023

Officer/Director/Trustee Two

RICHARD CLARK
DIRECTOR
940 BOAT WORKS ROAD
ADGER AL 35006

Officer/Director/Trustee Three

GORDON BUSH
DIRECTOR
7059 PINE VIEW LAKE
MCCALLA AL 35111

Officer/Director/Trustee Four

THOMAS TINDELL
DIRECTOR
9278 CHASEWOOD PLACE
SPANISH FORT AL 36527

Officer/Director/Trustee Five

JEFFERY MAY
DIRECTOR
3653 FAYETTEVILLE HIGHWAY
LYNCHBURG TN 37352

Organization’s website
Organization’s email RCCLARK107@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2013
Organization Incorporation State AL
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: 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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