FORM 1023-EZ for KENSINGTON AREA AFTER-SCHOOL PROGRAM

Field Data
EIN 47-1598083
Case Number EO-2015086-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KENSINGTON AREA AFTER-SCHOOL PROGRAM
Organization’s Mailing Address PO BOX 101
City KENSINGTON
State MN
ZIP 56343
Accounting period End 12
Primary contact name BECKY JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BECKY JOHNSON
PRESIDENT
19644 COUNTY RD 99 SW
KENSINGTON MN 56343

Officer/Director/Trustee Two

MICHELLE NESSMAN
TREASURER
18 KENSINGTON AVE S
KENSINGTON MN 56343

Officer/Director/Trustee Three

MIKKEL ANDERSON
VICE PRESIDENT
37440 110TH STREET
KENSINGTON MN 56343

Officer/Director/Trustee Four

MARISA SABOLIK
OFFICER
9161 COUNTY RD 15 SW
KENSINGTON MN 56343

Officer/Director/Trustee Five

TINA ANDERSON
OFFICER
11089 350TH AVE
FARWELL MN 56327

Organization’s website
Organization’s email KAAPBOARD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O05 - Research Institutes and/or Public Policy Analysis
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 Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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