FORM 1023-EZ for KIDS COUNT

Field Data
EIN 14-1836540
Case Number EO-2014317-000073
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIDS COUNT
Organization’s Mailing Address 22 MANOR PLACE
City WATERVLIET
State NY
ZIP 12189
Accounting period End 12
Primary contact name ROBERT FAHR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FRANK GILCHRIST
CHAIRMAN
614 6TH STREET
WATERVLIET NY 12189

Officer/Director/Trustee Two

EDWARD REINFURT
VICE CHAIRMAN
149 LANCASTER STREET
ALBANY NY 12210-1903

Officer/Director/Trustee Three

ROBERT FAHR
TREASURER
1102 8TH AVENUE
WATERVLIET NY 12189

Officer/Director/Trustee Four

CARLEEN LEGAULT
SECRETARY
711 6TH AVENUE
WATERVLIET NY 12189

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2001
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, 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 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 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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