FORM 1023-EZ for KIDS BACK THE BLUE

Field Data
EIN 82-4265398
Case Number EO-2018066-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIDS BACK THE BLUE
Organization’s Mailing Address 3131 MCKINNEY AVE STE 600
City DALLAS
State TX
ZIP 75204
Accounting period End 12
Primary contact name VANESSA PALACIOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VANESSA PALACIOS
PRESIDENT, DIRECTOR
518 INDIAN PAINTBRUSH DR
FATE TX 75087

Officer/Director/Trustee Two

VIANNA BENITEZ
SECRETARY, DIRECTOR
2345 FORT WORTH ST
GRAND PRAIRIE TX 75050

Officer/Director/Trustee Three

CAROL FAGBEMI
TREASURER, DIRECTOR
4700 WIMBLETON WAY APT 1422
DALLAS TX 75227

Organization’s website WWW.KIDSBACKTHEBLUE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 VANESSA PALACIOS
Signature Title PRESIDENT, DIRECTOR
Signature Date 3/5/18

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