FORM 1023-EZ for KATRINA AMOS KIDS EMPOWERMENT FUNDINC

Field Data
EIN 85-4000467
Case Number EO-2021026-000014
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KATRINA AMOS KIDS EMPOWERMENT FUNDINC
Organization’s Mailing Address 1210 FRONT STREET
City VAIDEN
State MS
ZIP 39176
Accounting period End 12
Primary contact name ANGELA AMOS WARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA WADE
EXECUTIVE DIRECTOR
1210 FRONT STREET
VAIDEN MS 39176

Officer/Director/Trustee Two

CHARMAINE AMOS
PRESIDENT
3310 WEST 7TH STREET APT 20
HATTIESBURG MS 39401

Officer/Director/Trustee Three

DEBRA AUSTIN
TREASURER
27373 MS HWY 35
WINONA MS 38967

Officer/Director/Trustee Four

VIRGINIA WADE
SECRETARY
31941 MS HWY 35
VAIDEN MS 39176

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2020
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANGELA WADE
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/7/2020

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