FORM 1023-EZ for KAITLINS HIDEOUT

Field Data
EIN 45-2928405
Case Number EO-2014321-000357
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KAITLINS HIDEOUT
Organization’s Mailing Address 526 CRESCENT BLVD SUITE 7
City GLEN ELLYN
State IL
ZIP 60137
Accounting period End 12
Primary contact name LISA KELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA KELLY
DIRECTOR
880 FOXWORTH BLVD APT 107
LOMBARD IL 60148

Officer/Director/Trustee Two

EDWARD DEC
OFFICER
1812 ADDLEMAN
JOLIET IL 60431

Organization’s website WWW.KAITLINSHIDEOUT.COM
Organization’s email INFO@KAITLINSHIDEOUT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2011
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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