FORM 1023-EZ for FOCUSEDKIDS

Field Data
EIN 81-4090184
Case Number EO-2016298-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOCUSEDKIDS
Organization’s Mailing Address 140 RIVER OAKS LANE
City BASALT
State CO
ZIP 81621
Accounting period End 12
Primary contact name KATHY HEGBERG MA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY HEGBERG MA
DIRECTOR AND PRESIDENT
140 RIVER OAKS LANE
BASALT CO 81621

Officer/Director/Trustee Two

BILL HEGBERG
DIRECTOR AND VICE PRESIDENT
140 RIVER OAKS LANE
BASALT CO 81621

Organization’s website WWW.FOCUSEDKIDS.ORG
Organization’s email KHEGBERG2@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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