FORM 1023-EZ for KIDS INSPIRING KIDS

Field Data
EIN 47-2113978
Case Number EO-2014295-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIDS INSPIRING KIDS
Organization’s Mailing Address 4813 WIND HILL COURT WEST
City FORT WORTH
State TX
ZIP 76179
Accounting period End 5
Primary contact name DALE FLINT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DALE FLINT
PRESIDENT
4813 WIND HILL COURT WEST
FORT WORTH TX 76179

Officer/Director/Trustee Two

MEAGAN MAINVILLE
TREASURER
228 S NATURAL SPRING DR
AZLE TX 76020

Officer/Director/Trustee Three

JARA LANG
SECRETARY
7312 BISHOP COURT
FORT WORTH TX 76179

Officer/Director/Trustee Four

SAM VIGGERS
BOARD MEMBER
8301 BOAT CLUB ROAD 1428
FORT WORTH TX 76179

Officer/Director/Trustee Five

AMY FLINT
BOARD MEMBER
4813 WIND HILL COURT WEST
FORT WORTH TX 76179

Organization’s website KIKSTX.ORG
Organization’s email DALE@KIKSTX.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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