FORM 1023-EZ for KASA 360 INC

Field Data
EIN 85-3651264
Case Number EO-2021093-000456
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KASA 360 INC
Organization’s Mailing Address 3610 EASTGATE DR B
City SAVANNAH
State GA
ZIP 31404-4820
Accounting period End 12
Primary contact name KIERA GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIERA GREEN
DIRECTOR
3610 EASTGATE DR B
SAVANNAH GA 31404-4820

Officer/Director/Trustee Two

WENDY BERCOVITZ
OFFICER
2212 MISSISSIPPI AVENUE
SAVANNAH GA 31404-2613

Officer/Director/Trustee Three

LAKEESHA MANN
OFFICER
8505 WATERS AVE APT 203
SAVANNAH GA 31406-6051

Officer/Director/Trustee Four

ALEXIS DINGLE
OFFICER
611 E PRESIDENT ST APT A
SAVANNAH GA 31401-2922

Organization’s website
Organization’s email kasa360inc@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2020
Organization Incorporation State GA
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: Yes
Scientific: No
Literary: Yes
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 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 KIERA GREEN
Signature Title DIRECTOR
Signature Date 3/1/2021

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