FORM 1023-EZ for KIDNEY FOUNDATION OF NEVADA

Field Data
EIN 82-4059275
Case Number EO-2018096-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIDNEY FOUNDATION OF NEVADA
Organization’s Mailing Address 1064 COURTNEY MARIE LN
City FALLON
State NV
ZIP 89406
Accounting period End 12
Primary contact name DEBORAH STEWART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS OSBORN
PRESIDENT
9600 KAITLIN COURT
RENO NV 89521

Officer/Director/Trustee Two

ALEX ROSE
SECRETARY
953 7TH STREET
SPARKS NV 89431

Officer/Director/Trustee Three

BARRY COLLIER
TREASURER
2330 S VIRGINIA ST
RENO NV 89501

Officer/Director/Trustee Four

MARGIE PRYOR
DIRECTOR
6335 WESTWIND WAY
FALLON NV 89406

Officer/Director/Trustee Five

PAUL PRYOR
OFFICER- CEO
9640 GLEN RIDGE DR
RENO NV 89521

Organization’s website WWW.KIDNEYFOUNDATIONOFNEVADA.ORG
Organization’s email CEO@KIDNEYFOUNDATIONOFNEVADA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/18
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: Yes
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 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 PAUL PRYOR
Signature Title OFFICER- CEO
Signature Date 4/4/18

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