FORM 1023-EZ for KINTSUGI COLLECTIVE INC
| Field | Data |
|---|---|
| EIN | 84-3148565 |
| Case Number | EO-2019301-000452 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KINTSUGI COLLECTIVE INC |
| Organization’s Mailing Address | 7 NARANJA RD |
| City | DEBARY |
| State | FL |
| ZIP | 32713 |
| Accounting period End | 12 |
| Primary contact name | AMBER MCDANIEL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TRACI WARREN
PRESIDENT
4602 COUNTY ROAD 673 - NUM 1088
BUSHNELL FL 33513
Officer/Director/Trustee Two
AMBER MCDANIEL
VICE PRESIDENT
7 NARANJA RD
DEBARY FL 32713
Officer/Director/Trustee Three
DENISE FLOOD
BOARD MEMBER
760 3RD STREET SW
NAPLES FL 34117
Officer/Director/Trustee Four
KRISTY CONWAY
BOARD MEMBER
380 SKY PARK DRIVE
CORYDON IN 47112
| Organization’s website | WWW.KINTSUGICOLLECTIVE.COM |
|---|---|
| Organization’s email | CONNECT@KINTSUGICOLLECTIVE.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/20/19 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X99 - Religion Related, Spiritual Development 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 | 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 | 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 | AMBER MCDANIEL |
| Signature Title | VICE PRESIDENT |
| Signature Date | 10/24/19 |
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