FORM 1023-EZ for KIDS FANTASY LAND INC

Field Data
EIN 74-3063936
Case Number EO-2018141-000286
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIDS FANTASY LAND INC
Organization’s Mailing Address 1046 PHIL ONEIL DRIVE
City CHARLOTTE
State NC
ZIP 28215
Accounting period End 12
Primary contact name C MARIA MACON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEALSTINA PEARSON
PRESIDENT
1046 PHIL ONEIL DRIVE
CHARLOTTE NC 28215

Officer/Director/Trustee Two

KENYA HAYES
SECRETARY
20 TRAVIS COURT
SUMTER SC 29154

Officer/Director/Trustee Three

XAVIER LEWIS
TREASURER
3713 RAVENWOOD CHASE
STOCKBRIDGE GA 30281

Officer/Director/Trustee Four

FANISHA COWAN
DIRECTOR
451 COOK STREET
CONCORD NC 28025

Officer/Director/Trustee Five

AYANNA FOUST
DIRECTOR
1318 LOMAX AVE
CHARLOTTE NC 28211

Organization’s website
Organization’s email SEALSTINA@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/04
Organization Incorporation State NC
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: Yes
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 Yes
Correctness Declaration Yes
Signature Name SEALSTINA PEARSON
Signature Title PRESIDENT
Signature Date 5/17/18

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