FORM 1023-EZ for KOBYS PROMISE INC

Field Data
EIN 81-5373764
Case Number EO-2017052-000346
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KOBYS PROMISE INC
Organization’s Mailing Address 4140 65TH STREET
City HOLLAND
State MI
ZIP 49423-9733
Accounting period End 12
Primary contact name KARIN BUFFUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARIN BUFFUM
CHAIR
4140 65TH STREET
HOLLAND MI 49423-9733

Officer/Director/Trustee Two

MARC BRANDON
CO-CHAIR
1648 CHERRY STREET
NILES MI 49120-3645

Officer/Director/Trustee Three

CRAIG SHREWSBURY
DIRECTOR
4140 65TH STREET
HOLLAND MI 49423-9733

Officer/Director/Trustee Four

PEGGY DEHNE
DIRECTOR
1106 N 7TH STREET
NILES MI 49120-1712

Officer/Director/Trustee Five

CHARLENE BUFFUM
DIRECTOR
330 WOODHILL DRIVE
REDDING CA 96003-2930

Organization’s website WWW.KOBYSPROMISE.ORG
Organization’s email ADMIN@KOBYSPROMISE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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