FORM 1023-EZ for KB BEARS INC

Field Data
EIN 84-4234329
Case Number EO-2020013-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KB BEARS INC
Organization’s Mailing Address 123 EAST MAIN STREET 5TH FLOOR
City CHARLOTTESVILLE
State VA
ZIP 22902
Accounting period End 5
Primary contact name VICTORIA GRAVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICTORIA GRAVES
BOARD MEMBER
2461 GARTH ROAD
CHARLOTTESVILLE VA 22901

Officer/Director/Trustee Two

ANDREW BALDWIN
BOARD MEMBER
600 EAST WATER STREET SUITE H
CHARLOTTESVILLE VA 22902

Officer/Director/Trustee Three

BILLY BALDWIN
BOARD MEMBER
600 EAST WATER STREET SUITE H
CHARLOTTESVILLE VA 22902

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G44 - Kidney Disease
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 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 VICTORIA GRAVES
Signature Title BOARD MEMBER
Signature Date 1/9/2020

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