FORM 1023-EZ for KICKSBACK FOUNDATION INC

Field Data
EIN 45-3813219
Case Number EO-2021097-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KICKSBACK FOUNDATION INC
Organization’s Mailing Address 8154 STANFORD PL
City MONTGOMERY
State AL
ZIP 36117
Accounting period End 12
Primary contact name SHAMERE DEMOLLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAMERE DEMOLLE
FOUNDER
8154 STANFORD PL
MONTGOMERY AL 36117

Officer/Director/Trustee Two

RUBY GRAHAM
VICE PRESIDENT
2711 ARGYLE RD
MONTGOMERY AL 36116

Officer/Director/Trustee Three

ALICIA ENCALADE
SECRETARY
3013 ACORN DR
VIOLET LA 70092

Organization’s website
Organization’s email SDEMOLLE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/2011
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Correctness Declaration Yes
Signature Name SHAMERE DEMOLLE
Signature Title FOUNDER
Signature Date 3/11/2021

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