FORM 1023-EZ for KIDS WITH PURPOSE INTERNATIONAL

Field Data
EIN 81-4964308
Case Number EO-2017160-000265
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIDS WITH PURPOSE INTERNATIONAL
Organization’s Mailing Address 334 E LAKE RD NUM RD-130
City PALM HARBOR
State TX
ZIP 34685
Accounting period End 12
Primary contact name JACQUELINE MCDOWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANNA COLLINS
PRESIDENT
2839 COUNTRYBROOK DRIVE
PALM HARBOR FL 34684

Officer/Director/Trustee Two

RICHARD DORTCH
V PRESIDENT
334 EAST LAKE ROAD
PALM HARBOR FL 34685

Officer/Director/Trustee Three

MILDRED DORTCH
SECRETARY/TREASURER
2839 COUNTRYBROOK DRIVE
PALM HARBOR FL 34684

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P76 - Youth Housing
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 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
Signature Title
Signature Date

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