FORM 1023-EZ for K W I A B O I INC

Field Data
EIN 87-2680444
Case Number EO-2021279-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name K W I A B O I INC
Organization’s Mailing Address 375 W PARK ST
City GRANTS PASS
State OR
ZIP 97527
Accounting period End 12
Primary contact name JENNIFER GREER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUSHANE FOOTE
DIRECTOR
375 W PARK ST
GRANTS PASS OR 97527

Officer/Director/Trustee Two

JENNIFER GREER
DIRECTOR
375 W PARK ST
GRANTS PASS OR 97527

Officer/Director/Trustee Three

JAMEISHA BRADFORD
DIRECTOR
375 W PARK ST
GRANTS PASS OR 97527

Officer/Director/Trustee Four

CALVIN WALKER
DIRECTOR
375 W PARK ST
GRANTS PASS OR 97527

Organization’s website
Organization’s email JENNIFERW.GREER74@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/2021
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
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 JENNIFER GREER
Signature Title DIRECTOR
Signature Date 10/5/2021

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