FORM 1023-EZ for LIFT KIDS HAITI

Field Data
EIN 83-1059430
Case Number EO-2018218-000173
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFT KIDS HAITI
Organization’s Mailing Address 523 E CHADWICK DR
City MUSKEGON
State MI
ZIP 49445
Accounting period End 12
Primary contact name KURT KIDD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KURT KIDD
PRESIDENT
523 E CHADWICK DR
MUSKEGON MI 49445

Officer/Director/Trustee Two

NANETTE JOHNSON
SECRETARY/TREASURER
523 E CHADWICK DR
MUSKEGON MI 49445

Officer/Director/Trustee Three

MICHAEL DECKMAN
DIRECTOR
523 E CHADWICK DR
MUSKEGON MI 49445

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 KURT KIDD
Signature Title PRESIDENT
Signature Date 8/1/18

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