FORM 1023-EZ for ROCKIN KIDZ CLUB INC

Field Data
EIN 81-1294868
Case Number EO-2017062-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROCKIN KIDZ CLUB INC
Organization’s Mailing Address 2456 BURNS AVE
City MELBOURNE
State FL
ZIP 32935
Accounting period End 12
Primary contact name KATINA BOLTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATINA BOLTON
PRES
2456 BURNS AVE
MELBOURNE FL 32935-2744

Officer/Director/Trustee Two

PATRICIA KOLEHMAINEN
SEC
2009 BUESHER HILL ST
MELBOURNE FL 32935

Officer/Director/Trustee Three

DEBRA MALLT
COO
3521 JOSLIN WAY
MELBOURNE FL 32904

Organization’s website ROCKINKIDZCLUB.ORG
Organization’s email KATINABOLTON@ROCKINKIDZCLUB.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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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