FORM 1023-EZ for KINETIC-HER INCORPORATED

Field Data
EIN 83-3068719
Case Number EO-2019071-000619
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINETIC-HER INCORPORATED
Organization’s Mailing Address 3415 WEST LAKE MARY BLVD
City LAKE MARY
State FL
ZIP 32795
Accounting period End 12
Primary contact name RENEE BERTALAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENEE BERTALAN
PRESIDENT
762 HADDONSTONE CIR APT 2OO
LAKE MARY FL 32746

Officer/Director/Trustee Two

ANDREANA ALVEREZ
TREASURER
275 W 144THST APT 16
NEW YORK NY 10030

Officer/Director/Trustee Three

ANDREW BERTALAN
SECRETARY
2552 MORNING STAR PL
OVIEDO FL 32765

Organization’s website KINETIC-HER.COM
Organization’s email KINETIC.HER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/19
Organization Incorporation State FL
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RENEE BERTALAN
Signature Title PRESIDENT
Signature Date 3/7/19

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