FORM 1023-EZ for KELSEYS KLOSET

Field Data
EIN 84-1685907
Case Number EO-2017062-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KELSEYS KLOSET
Organization’s Mailing Address 2295 TOWNE LAKE PARKWAY 116-113
City WOODSTOCK
State GA
ZIP 30189
Accounting period End 12
Primary contact name EVELYN PATRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MINDY BAKER
TRUSTEE
3012 HIGH VISTA WALK
WOODSTOCK GA 30189

Officer/Director/Trustee Two

ROBERT BAKER
TRUSTEE
3012 HIGH VISTA WALK
WOODSTOCK GA 30189

Organization’s website KELSEYSKLOSET.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2005
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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