FORM 1023-EZ for KIM HOLLAND PAY IT FORWARD FUND
| Field | Data |
|---|---|
| EIN | 81-4804534 |
| Case Number | EO-2017268-000314 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | KIM HOLLAND PAY IT FORWARD FUND |
| Organization’s Mailing Address | 214 BURCHWOOD BAY ROAD |
| City | HOT SPRINGS |
| State | AR |
| ZIP | 71913 |
| Accounting period End | 12 |
| Primary contact name | KIM HOLLAND |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KIM HOLLAND
PRESIDENT
214 BURCHWOOD BAY ROAD
HOT SPRINGS AR 71913
Officer/Director/Trustee Two
STEVE SPAKES
VICE PRESIDENT
881 MT CARMEL ROAD
HOT SPRINGS AR 71913
Officer/Director/Trustee Three
DEANNA RADER
SECRETARY
293 LONG BEACH POINT
HOT SPRINGS AR 71913
Officer/Director/Trustee Four
KAY FISCHER
TREASURER
419 LONG ISLAND DRIVE
HOT SPRINGS AR 71913
| Organization’s website | KIMHOLLANDPAYITFORWARD.ORG |
|---|---|
| Organization’s email | KIMHOLLANDPAYITFORWARD@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/28/2016 |
| Organization Incorporation State | AR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P60 - Emergency Assistance (Food, Clothing, Cash) |
| 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 | Yes |
| 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 | 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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