FORM 1023-EZ for KIWI KOHA USA

Field Data
EIN 83-3518087
Case Number EO-2019044-000351
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIWI KOHA USA
Organization’s Mailing Address 9463 WEST TUFTS AVENUE
City LITTLETON
State CO
ZIP 80123
Accounting period End 12
Primary contact name JANET BROOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANET BROOK
CHAIR, DIRECTOR
9463 WEST TUFTS AVENUE
LLITTLETON CO 80123

Officer/Director/Trustee Two

LARA STRELOW
SECRETARY, DIRECTOR
9463 WEST TUFTS AVENUE
LITTLETON CO 80123

Officer/Director/Trustee Three

LARA KELLOFF
TREASURER, DIRECTOR
9463 WEST TUFTS AVENUE
LITTLETON CO 80123

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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 JANET BROOK
Signature Title CHAIR, DIRECTOR
Signature Date 2/11/19

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