FORM 1023-EZ for POWDER KEG FIREWORKS INC

Field Data
EIN 84-1906093
Case Number EO-2019163-000342
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POWDER KEG FIREWORKS INC
Organization’s Mailing Address 420 S JACKSON SUITE 100
City PRATT
State KS
ZIP 67124
Accounting period End 12
Primary contact name JEFF BLASI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF BLASI
BOD/PRESIDENT
1021 N MAIN ST
PRATT KS 67124

Officer/Director/Trustee Two

DONALD BLASI
BOD/VICE PRESIDENT
20435 SW 20TH ST
PRATT KS 67124

Officer/Director/Trustee Three

KAREN BLASI
BOD/TREASURER
20435 SW 20TH ST
PRATT KS 67124

Officer/Director/Trustee Four

JEFF SLATER
SECRETARY
1502 RIVERVIEW RD
PRATT KS 67124

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/19
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 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 JEFF BLASI
Signature Title BOD/PRESIDENT
Signature Date 6/10/19

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