FORM 1023-EZ for COMMUNITY KIDS

Field Data
EIN 81-4001490
Case Number EO-2016354-000151
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY KIDS
Organization’s Mailing Address 9525 ELMBROOKE BLVD
City BRENTWOOD
State TN
ZIP 37027-0504
Accounting period End 12
Primary contact name ELISE KARPINSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA BETZ
DIRECTOR
9525 ELMBROOKE BLVD
BRENTWOOD TN 37027-0504

Officer/Director/Trustee Two

ANDREA DICKINSON
DIRECTOR
9613 PORTOFINO DRIVE
BRENTWOOD TN 37027

Officer/Director/Trustee Three

ELISE KARPINSKI
DIRECTOR
504 ELMONT TERRACE
NASHVILLE TN 37211

Organization’s website COMMUNITYKIDSTN.COM
Organization’s email COMMUNITYKIDSTN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 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
Signature Title
Signature Date

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