FORM 1023-EZ for KIDS PLACE COMPANY

Field Data
EIN 47-2172123
Case Number EO-2014310-000042
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIDS PLACE COMPANY
Organization’s Mailing Address 3611 OAKDALE DRIVE
City GARY
State IN
ZIP 46403
Accounting period End 12
Primary contact name DARNITHA CROSSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DARNITHA CROSSLEY
EXECUTIVE DIRECTOR
3611 OAKDALE DRIVE
GARY IN 46403

Officer/Director/Trustee Two

WILLIAM CROSSLEY
ASST DIRECTOR
210 GARDEN TRAIL
MICHIGAN CITY IN 46360

Officer/Director/Trustee Three

LAKEIA SERAMUR
SECRETARY
440 1 PLYMOUTH RD
VALPARAISO IN 46385

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2014
Organization Incorporation State IN
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 Yes
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 Yes
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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