FORM 1023-EZ for DIRTY KID COUCHSURFING COALITION

Field Data
EIN 81-3358926
Case Number EO-2016239-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIRTY KID COUCHSURFING COALITION
Organization’s Mailing Address 336 CARROLLWOOD DR
City YOUNGSTOWN
State NY
ZIP 14174
Accounting period End 12
Primary contact name REBECCA POWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA POWELL
PRESIDENT
336 CARROLLWOOD DR
YOUNGSTOWN NY 14174

Officer/Director/Trustee Two

TINA GRANGER
VICE PRESIDENT
16958 11TH AVE N EXT
NAMPA ID 83687

Officer/Director/Trustee Three

CAROLINE HOLT
SECRATARY
943 SOUTH EAST GLENN ST
ROSEBURG OR 97470

Officer/Director/Trustee Four

DONALD POWELL
TREASURER
336 CARROLLWOOD DR
YOUNGSTOWN NY 14174

Organization’s website WWW.DKCSC.WEBSTARTS.COM
Organization’s email DIRTYKIDCOUCHSURFINGCOALITION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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