FORM 1023-EZ for KIDS ON SAFARI

Field Data
EIN 81-4370735
Case Number EO-2016320-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIDS ON SAFARI
Organization’s Mailing Address 7535 MOON VALLEY RD SE
City NORTH BEND
State WA
ZIP 98045
Accounting period End 12
Primary contact name TODD CROMWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD CROMWELL
FOUNDING DIRECTOR CEO
7535 MOON VALLEY RD SE
NORTH BEND WA 98045

Officer/Director/Trustee Two

MICHAEL WOODS
DIRECTOR
7517 MOON VALLEY RD SE
NORTH BEND WA 98045

Officer/Director/Trustee Three

TODD JACKMAN
DIRECTOR
1771 HARRISON WAY NE
ISSAQUAH WA 98029

Officer/Director/Trustee Four

OWEN GRACE
DIRECTOR WEBSITE MGR
36 THURLAND AVE
ASHEVILLE NC 28803

Officer/Director/Trustee Five

BEVERLY CROMWELL
DIRECTOR
2251 SETTLERS PARK LOOP
ROUND ROCK TX 78665

Organization’s website WWW.KIDSONSAFARI.ORG
Organization’s email TODD@KIDSONSAFARI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 No
Donation of funds No
Conducting Activities Outside of United States Yes
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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