FORM 1023-EZ for KEVIN KING MEMORIAL

Field Data
EIN 84-2158360
Case Number EO-2019176-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEVIN KING MEMORIAL
Organization’s Mailing Address 281 SIMSTOWN RD
City EVENING SHADE
State AR
ZIP 72532
Accounting period End 12
Primary contact name JOHN KUNKEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN KUNKEL
DIRECTOR
281 SIMSTOWN RD
EVENING SHADE AR 72532

Officer/Director/Trustee Two

DONNA CRUSE
DIRECTOR
312 ARKANSAS TRAVELER RD
HARDY AR 72542

Officer/Director/Trustee Three

SELENA CORTER
DIRECTOR
243 E LAKESHORE DR
CHEROKEE VILLAGE AR 72529

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN KUNKEL
Signature Title DIRECTOR
Signature Date 6/20/19

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