FORM 1023-EZ for CKINDNESS

Field Data
EIN 84-2279286
Case Number EO-2020297-000706
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CKINDNESS
Organization’s Mailing Address 205 S HIGLEY RD UNIT 269
City MESA
State AZ
ZIP 85206
Accounting period End 12
Primary contact name SHIRENE BRAIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIRENE BRAIM
PRESIDENT / DIRECTOR
205 S HIGLEY RD UNIT 269
MESA AR 85206

Officer/Director/Trustee Two

TONYA RICHARDS
TREASURER / DIRECTOR
120 N VAL VISTA DR UNIT 207
MESA AR 85213

Officer/Director/Trustee Three

TABITHA QUATTLEBAUM
SECRETARY / DIRECTOR
5990 SE 92ND AVE UNIT 401
PORTLAND OR 97266

Organization’s website WWW.CKINDNESS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2019
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 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 TABITHA QUATTLEBAUM
Signature Title SECRETARY / DIRECTOR
Signature Date 10/21/2020

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