FORM 1023-EZ for KAIROS KREW

Field Data
EIN 83-0870356
Case Number EO-2018169-000831
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KAIROS KREW
Organization’s Mailing Address 17149 3RD STREET
City HOLLAND
State MI
ZIP 49424-1168
Accounting period End 12
Primary contact name MELISSA KLAASEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA KLAASEN
PRESIDENT
17149 THIRD STREET
HOLLAND MI 49424-1168

Organization’s website
Organization’s email KAIROSKREW2018@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 MELISSA KLAASEN
Signature Title PRESIDENT
Signature Date 6/15/18

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