FORM 1023-EZ for KENT CITY SENIOR BASH INC

Field Data
EIN 84-4439537
Case Number EO-2020037-000233
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KENT CITY SENIOR BASH INC
Organization’s Mailing Address PO BOX 16
City KENT CITY
State MI
ZIP 49330
Accounting period End 12
Primary contact name JESSICA FARRINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER CARLSON
PRESIDENT
17085 WHITE RD
BAILEY MI 49303

Officer/Director/Trustee Two

JACKIE ANDERSON
CO-PRESIDENT
17585 CALLEN RD
KENT CITY MI 49330

Officer/Director/Trustee Three

JESSICA FARRINGTON
TREASURER
161 KENT RIDGE DR APT 5
KENT CITY MI 49330

Officer/Director/Trustee Four

JULIE SCHNEIDER-THOMAS
SECRETARY
282 N MAIN ST
KENT CITY MI 49330

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 JESSICA FARRINGTON
Signature Title TREASURER
Signature Date 2/4/2020

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