FORM 1023-EZ for KIDS SPACE INC

Field Data
EIN 82-4861666
Case Number EO-2018095-000573
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIDS SPACE INC
Organization’s Mailing Address 9874 HARPER ROAD
City FREDONIA
State KS
ZIP 66736
Accounting period End 12
Primary contact name JILL R GILLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL GILLETT
PRESIDENT
9874 HARPER ROAD
FREDONIA KS 66736

Officer/Director/Trustee Two

FRED LORENTZ
VICE-PRESIDENT
406 ROBINSON
FREDONIA KS 66736

Officer/Director/Trustee Three

DEANNA VAUGHN
SECRETARY
13214 HWY 47
FREDONIA KS 66736

Officer/Director/Trustee Four

JOHN CHENOWETH
TREASURER
PO BOX 478
FREDONIA KS 66736

Organization’s website
Organization’s email KIDSSPACEINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/17
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 JILL GILLETT
Signature Title PERSIDENT
Signature Date 3/22/18

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