FORM 1023-EZ for TEN FOUR THE KIDS

Field Data
EIN 81-3632901
Case Number EO-2016302-000333
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEN FOUR THE KIDS
Organization’s Mailing Address 1540 ROSWELL MANOR CIR
City ROSWELL
State GA
ZIP 30076
Accounting period End 12
Primary contact name MATHEW MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATHEW MOORE
PRESIDENT
1540 ROSWELL MANOR CIR
ROSWELL GA 30076

Officer/Director/Trustee Two

LISA MOORE
TREASURER
1540 ROSWELL MANOR CIR
ROSWELL GA 30076

Officer/Director/Trustee Three

SUE BUKACEK
SECRETARY
2958 PLYMOUTH AVE
LINCOLN NE 68502

Officer/Director/Trustee Four

BOB LUCEY
DIRECTOR
10778 RIDGEBROOK DR
RENO NV 89521

Officer/Director/Trustee Five

MELISSA CARPENTER
DIRECTOR
7225 SOUTH HAMPTON RD
LINCOLN NE 68506

Organization’s website
Organization’s email TENFOURTHEKIDS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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
Signature Title
Signature Date

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