FORM 1023-EZ for KELSEYS KALEIDOSCOPE INC A NEW VIEWFOR PAN

Field Data
EIN 81-1400309
Case Number EO-2016109-000255
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KELSEYS KALEIDOSCOPE INC A NEW VIEWFOR PAN
Organization’s Mailing Address 1236 BRACE ROAD STE B
City CHERRY HILL
State NJ
ZIP 08034
Accounting period End 12
Primary contact name MARY WAGNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY WAGNER
TRUSTEE
1236 BRACE ROAD STE B
CHERRY HILL NJ 08034

Officer/Director/Trustee Two

MICHAEL WEISS
TRUSTEE
1236 BRACE ROAD STE B
CHERRY HILL NJ 08034

Officer/Director/Trustee Three

GREG TAYLOR
TRUSTEE
1A REGULUS DRIVE
TURNERSVILLE NJ 08012

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 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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