FORM 1023-EZ for ASSERTIVE KIDS FOUNDATION

Field Data
EIN 83-1106745
Case Number EO-2019123-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSERTIVE KIDS FOUNDATION
Organization’s Mailing Address BOX 20521
City STATEN ISLAND
State NY
ZIP 10302
Accounting period End 6
Primary contact name HEATHER MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONN ALBANO
PRESIDENT
PO BOX 20521
STATEN ISLAND NY 10302

Officer/Director/Trustee Two

HEATHER MILLER
SECRETARY
PO BOX 20521
STATEN ISLAND NY 10302

Organization’s website HTTP://ASSERTIVEKIDS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 HEATHER MILLER
Signature Title SECRETARY
Signature Date 5/1/19

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