FORM 1023-EZ for MY KID PLATE FOUNDATION

Field Data
EIN 87-1962198
Case Number EO-2021216-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY KID PLATE FOUNDATION
Organization’s Mailing Address 3607 CRUDEN BAY DRIVE
City ZACHARY
State LA
ZIP 70791
Accounting period End 7
Primary contact name ALEXIS MOTLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXIS MOTLEY
EXECTUVE DIRECTOR
3607 CRUDEN BAY DRIVE
ZACHARY LA 70791

Officer/Director/Trustee Two

ASHLEY SHAW
PRESIDNET
605 PARK AVE
OPELOUSAS LA 70570

Officer/Director/Trustee Three

ALEXIS PERKINS
SECRETARY
5666 MAGNOLIA DE PERCY DRIVE
CARVILLE LA 70721

Officer/Director/Trustee Four

KEISHA DANDRIDGE
TREASURER
17442 OMEGA COURT
BAKER LA 70714

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2021
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 ALEXIS MOTLEY
Signature Title EXECTUVE DIRECTOR
Signature Date 8/2/2021

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