FORM 1023-EZ for KABETOGAMA ADVENTURE ACADEMY

Field Data
EIN 84-3763296
Case Number EO-2019329-000383
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KABETOGAMA ADVENTURE ACADEMY
Organization’s Mailing Address 9634 GAMMA RD
City KABETOGAMA
State MN
ZIP 56669
Accounting period End 12
Primary contact name DAWN KEELER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN KEELER
DIRECTOR
9634 GAMMA RD
RAY MN 56669

Officer/Director/Trustee Two

KENT KEELER
PRESIDENT
9634 GAMMA RD
RAY MN 56669

Officer/Director/Trustee Three

PAUL KINER
DIRECTOR
9801 GAPPA RD
RAY MN 56669

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAWN KEELER
Signature Title DIRECTOR
Signature Date 11/21/19

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