FORM 1023-EZ for OMNI KIDS TRI
| Field | Data |
|---|---|
| EIN | 82-4401459 |
| Case Number | EO-2018046-000295 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | OMNI KIDS TRI |
| Organization’s Mailing Address | 210 CHEVAL CIR SE |
| City | BROWNSBORO |
| State | AL |
| ZIP | 35741 |
| Accounting period End | 12 |
| Primary contact name | DANA DEBARDELABEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DANA DEBARDELABEN
EXECUTIVE DIRECTOR
210 CHEVAL CIRCLE SE
BROWNSBORO AL 35741
Officer/Director/Trustee Two
RUTH MARIE OLIVER
BOARD CHAIR
5014 WILLOW CREEK DRIVE
OWENS CROSS ROADS AL 35763
Officer/Director/Trustee Three
JEFF HINELY
BOARD VICE CHAIR
9001 RANDALL ROAD SW
HUNTSVILLE AL 35802
Officer/Director/Trustee Four
DEB HENDERLONG
BOARD TREASURE
104 AMBERGATE DRIVE
MADISON AL 35756
Officer/Director/Trustee Five
BECKIE LERMA
BOARD SECRETARY
101 LACEYS SPRING
LACEYS SPRING AL 35754
| Organization’s website | |
|---|---|
| Organization’s email | OMNIKIDSTRI@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/9/18 |
| Organization Incorporation State | AL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O50 - Youth Development Programs, Other |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | Yes |
| 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 | DANA DEBARDELABEN |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 2/13/18 |
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