FORM 1023-EZ for CREATIVE KIDS CLUB

Field Data
EIN 81-1536606
Case Number EO-2018045-000116
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CREATIVE KIDS CLUB
Organization’s Mailing Address 3858 REDWOOD DRIVE
City RIVERSIDE
State CA
ZIP 92501-3149
Accounting period End 6
Primary contact name RHIANNON LITTLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RHIANNON LITTLE
CHIEF EXECUTIVE OFFICER
3858 REDWOOD DRIVE
RIVERSIDE CA 92501-3149

Officer/Director/Trustee Two

PETER SUROWSKI
SECRETARY
3858 REDWOOD DRIVE
RIVERSIDE CA 92501-3149

Officer/Director/Trustee Three

SHANTE MORTON
CHIEF FINANCIAL OFFICER
24661 PATRICIAN COURT
MORENO VALLEY CA 92551-906

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 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 RHIANNON LITTLE
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 2/12/18

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