FORM 1023-EZ for KOKOPELLIS DAUGHTERS

Field Data
EIN 84-1964325
Case Number EO-2019156-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KOKOPELLIS DAUGHTERS
Organization’s Mailing Address 15 MALLARD DRIVE
City BURNSVILLE
State NC
ZIP 28714
Accounting period End 12
Primary contact name DEBORAH LOUIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH LOUIS
COORDINATOR
15 MALLARD DRIVE
BURNSVILLE NC 28714

Officer/Director/Trustee Two

SIMONE BOUYER
ASSOCIATE
11419 BRIDGE PINE DRIVE
RIVERVIEW FL 33569

Officer/Director/Trustee Three

THERESE LAMONTAGNE
ASSOCIATE
131 PINE STREET
BRIDGEWATER NJ 8807

Officer/Director/Trustee Four

SIMONE LOUIS
ASSOCIATE
835 CORCORAN AVENUE APT2
SANTA CRUZ CA 95062

Organization’s website WWW.NORTHMOUNTAINS.ORG
Organization’s email DEB@NORTHMOUNTAINS.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 DEBORAH LOUIS
Signature Title COORDINATOR
Signature Date 6/3/19

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