FORM 1023-EZ for KELM INC

Field Data
EIN 81-0997015
Case Number EO-2016090-000528
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KELM INC
Organization’s Mailing Address 100 BROADWAY UNIT 110
City LYNBROOK
State NY
ZIP 11563-0110
Accounting period End 11
Primary contact name KIM MOORNING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIM MOORNING
PRESIDENT
PO BOX 533
LYNBROOK NY 11563-0533

Officer/Director/Trustee Two

LEORA DOBEY
EXECUTIVE DIRECTOR
101 SOUTH 8TH STREET UNIT 5A
BROOKLYN NY 11211

Officer/Director/Trustee Three

BETTY MOORNING
EDUCATION DIRECTOR
18005 145TH ROAD
JAMAICA NY 11434

Organization’s website WWW.KELMCOLLEGE.ORG
Organization’s email KIMM@KELMCOLLEGE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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