FORM 1023-EZ for IN MOTION FOR KIDS INC

Field Data
EIN 81-5115430
Case Number EO-2017081-000090
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IN MOTION FOR KIDS INC
Organization’s Mailing Address 327 SOUTHWOOD DRIVE
City SCOTTS VALLEY
State CA
ZIP 95066
Accounting period End 12
Primary contact name DAVID WAYNAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID WAYNAR
PRESIDENT/DIRECTOR
327 SOUTHWOOD DRIVE
SCOTTS VALLEY CA 95066

Officer/Director/Trustee Two

JANICE MCMILLIN
TREASURER/DIRECTOR
327 SOUTHWOOD DRIVE
SCOTTS VALLEY CA 95066

Officer/Director/Trustee Three

FORREST MONROY
SECRETARY/DIRECTOR
327 SOUTHWOOD DRIVE
SCOTTS VALLEY CA 95066

Officer/Director/Trustee Four

JAMES RAHN
DIRECTOR
327 SOUTHWOOD DRIVE
SCOTTS VALLEY CA 95066

Officer/Director/Trustee Five

MATT MUIRHEAD
DIRECTOR
327 SOUTHWOOD DRIVE
SCOTTS VALLEY CA 95066

Organization’s website
Organization’s email DAVIDWAYNAROSC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - 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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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