FORM 1023-EZ for KSSALUMNI 81 NORTH AMERICAN CHAPTERINC

Field Data
EIN 81-2420874
Case Number EO-2019087-000477
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KSSALUMNI 81 NORTH AMERICAN CHAPTERINC
Organization’s Mailing Address 1059 SIMONTON GLEN DRIVE
City LAWRENCEVILLE
State GA
ZIP 30045
Accounting period End 12
Primary contact name WAYNE GORDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE GORDON
PRESIDENT
1059 SIMONTON GLEN DRIVE
LAWRENCEVILLE GA

Officer/Director/Trustee Two

JACQUELINE GREEN-STEWART
SECRETARY/ TREASURER
PO BOX 340733
BROOKLYN NY 11234

Officer/Director/Trustee Three

MAXINE ROACHE-GREGORY
ASSISTANT SECRETARY
1008 CARDONNA STREET
TAMPA FL 33619

Officer/Director/Trustee Four

PERNELLA MCFARLANE
ASSISTANT TREASURER
25 DUNE RD
OCEAN TOWNSHIP NJ 7712

Organization’s website KSSALUMNI.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WAYNE GORDON
Signature Title PRESIDENT
Signature Date 3/26/19

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