FORM 1023-EZ for KENNEBEC VALLEY ROLLER DERBY

Field Data
EIN 84-2865596
Case Number EO-2020057-000280
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KENNEBEC VALLEY ROLLER DERBY
Organization’s Mailing Address PO BOX 306
City AUGUSTA
State ME
ZIP 04232-0306
Accounting period End 6
Primary contact name KATHRYN FERENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN FERENCE
PRESIDENT
37 NORTH CLARY ROAD
JEFFERSON ME 04348-4056

Officer/Director/Trustee Two

RENAE SNOW
VICE PRESIDENT
18 NOVELLA STREET
LEWISTON ME 04240-4633

Officer/Director/Trustee Three

JAMIE HOOVER
SECRETARY
49 EDGECOMB RD
LISBON FALLS ME 04252-9741

Officer/Director/Trustee Four

DESIREE SNOW
SECRETARY
18 NOVELLA STREET
LEWISTON ME 04240-4633

Officer/Director/Trustee Five

SARAH GOTT
MEMBER-AT-LARGE
7 LAKE AVENUE
ROCKLAND ME 04841-5701

Organization’s website WWW.KVRDME.COM
Organization’s email KVRD.LEAGUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/2019
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Correctness Declaration Yes
Signature Name KATHRYN FERENCE
Signature Title PRESIDENT
Signature Date 2/24/2020

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