FORM 1023-EZ for KIDS MAKE LIFE BETTER INC

Field Data
EIN 86-2159778
Case Number EO-2021091-000111
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIDS MAKE LIFE BETTER INC
Organization’s Mailing Address 4807 W BASE RD
City SWITZ CITY
State IN
ZIP 47465
Accounting period End 12
Primary contact name TARRY L EGNEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARRY EGNEW
PRESIDENT / DIRECTOR
4807 W BASE RD
SWITZ CITY IN 47465

Officer/Director/Trustee Two

JERRY ROBERTSON
VICE-PRESIDENT / DIRECTOR
417 E HILLSIDE DR
REYNOLDS IN 47980

Officer/Director/Trustee Three

STEVE STERCHI
SECRETARY / DIRECTOR
841 OAKLAWN DR
WESTFIELD IN 46074

Officer/Director/Trustee Four

JARED MATHIES
TREASURER / DIRECTOR
310 DAGES LN
LOOGOOTEE IN 47553

Officer/Director/Trustee Five

DOUG GALLOWAY
DIRECTOR
9896 W 500 N
HILLSBORO IN 47949

Organization’s website
Organization’s email tarry.egnew@agrigold.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
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 No
Correctness Declaration Yes
Signature Name TARRY EGNEW
Signature Title PRESIDENT / DIRECTOR
Signature Date 2/19/2021

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