FORM 1023-EZ for KIDS HOPE INTERNATIONAL INC

Field Data
EIN 47-4206473
Case Number EO-2015336-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIDS HOPE INTERNATIONAL INC
Organization’s Mailing Address 1251 FOUNTAIN LAKES DR
City LAWRENCEVILLE
State GA
ZIP 30043
Accounting period End 12
Primary contact name POLINTO KALUNGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

POLINTO KALUNGA
PRESIDENT/DIRECTOR
1252 FOUNTAIN LAKES DR
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Two

KARIKURUBU ATHANASE
TREASURER/DIRECTOR
1492 SPRUCE RIDGE WAY
STONE MOUNTAIN GA 30083

Officer/Director/Trustee Three

JENNIFER KALUNGA
SECRETARY/DIRECTOR
1251 FOUNTAIN LAKES DR
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Four

BAGALWA DANIEL
BOARD MEMBER/DIRECTOR
1352 HYDABURG LN
NORCROSS GA 30093

Officer/Director/Trustee Five

CHIRAGANE ORTHANCE
BOARD MEMBER/DIRECTOR
1352 HYDABURG LN
NORCROSS GA 30093

Organization’s website
Organization’s email KH.INTER@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1901
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 Yes
Conducting Activities Outside of United States Yes
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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