FORM 1023-EZ for KELLY CHILDRENS HOME INC
| Field | Data |
|---|---|
| EIN | 81-4840157 |
| Case Number | EO-2020225-000342 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KELLY CHILDRENS HOME INC |
| Organization’s Mailing Address | 380 GREAT GUT ROAD |
| City | WASHINGTON |
| State | NC |
| ZIP | 27889-9741 |
| Accounting period End | 12 |
| Primary contact name | ALEXIS KELLY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ALEXIS KELLY
CEO
380 GREAT GUT ROAD
WASHINGTON NC 27889-9741
Officer/Director/Trustee Two
SHANNON ALDERMAN
CFO
380 GREAT GUT ROAD
WASHINGTON NC 27889-9741
Officer/Director/Trustee Three
JOSHUA KELLY
VICE PRESIDENT
380 GREAT GUT ROAD
WASHINGTON NC 27889-9741
Officer/Director/Trustee Four
JAIME BURBAGE
SECRETARY
380 GREAT GUT ROAD
WASHINGTON NC 27889-9741
Officer/Director/Trustee Five
SHERRI DOWNS
DIRECTOR
114 ORE COURT
WASHINGTON NC 27889-9741
| Organization’s website | WWW.THEKELLYCHILDRENSHOME.ORG |
|---|---|
| Organization’s email | THEKELLYCHILDRENSHOME@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/26/2016 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L40 - Low-Cost Temporary 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | ALEXIS KELLY |
| Signature Title | CEO |
| Signature Date | 8/10/2020 |
| EIN | 81-4840157 |
| Case Number | EO-2017040-000262 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE KELLY CHILDRENS HOME |
| Organization’s Mailing Address | 740 PONY FARM ROAD |
| City | CLAYTON |
| State | NC |
| ZIP | 27520 |
| Accounting period End | 12 |
| Primary contact name | ALEXIS KELLY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ALEXIS KELLY
PRESIDENT, CEO
740 PONY FARM ROAD
CLAYTON NC 27520
Officer/Director/Trustee Two
JOSHUA KELLY
VICE PRESIDENT
740 PONY FARM ROAD
CLAYTON NC 27520
Officer/Director/Trustee Three
CHARLES KELLY
CHIEF OPERATIONS OFFICER
1604 BRUNSWICK DRIVE
DUNN NC 28334
Officer/Director/Trustee Four
ELOISE KELLY
CHIEF FINANCIAL OFFICER
1604 BRUNSWICK DRIVE
DUNN NC 28334
Officer/Director/Trustee Five
SHERRI DOWNS
CHAIRPERSON
380 GREAT GUT ROAD
WASHINGTON NC 27889
| Organization’s website | THEKELLYCHILDRENSHOME.COM |
|---|---|
| Organization’s email | THEKELLYCHILDRENSHOME@OUTLOOK.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/19/2016 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P32 - Foster Care |
| Organization’s purpose | Charitable: Yes 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 | 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 | |
| Signature Title | |
| Signature Date |
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