FORM 1023-EZ for KENT CITY ATHLETIC ORGANIZATION INC

Field Data
EIN 81-4788763
Case Number EO-2017012-000460
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KENT CITY ATHLETIC ORGANIZATION INC
Organization’s Mailing Address PO BOX 47
City KENT CITY
State MI
ZIP 49330
Accounting period End 12
Primary contact name PAMELA LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRI COATES
PRESIDENT
14280 SPARTA AVENUE
KENT CITY MI 49330

Officer/Director/Trustee Two

KIM STOCKHILL
VICE PRESIDENT
1665 KENOWA AVE
CASNOVIA MI 49318

Officer/Director/Trustee Three

PAMELA LARSON
TREASURER
326 17 MILE ROAD
KENT CITY MI 49330

Officer/Director/Trustee Four

AMBER LARSON
SECRETARY
13605 BIG JOHN CT
KENT CITY MI 49330

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
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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