FORM 1023-EZ for KINETIC OUTREACH SERVICES KOS

Field Data
EIN 83-3026085
Case Number EO-2019207-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINETIC OUTREACH SERVICES KOS
Organization’s Mailing Address 123 HIBBARD COURT SOUTH
City PONTIAC
State MI
ZIP 48341
Accounting period End 12
Primary contact name ANDREW L JENKINS SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DESTINI CANNON
CHAIRMAN
177 SOUTH PADDOCK
PONTIAC MI 48342

Officer/Director/Trustee Two

IRIS SMITH RANSOM
TREASURER
20065 LESURE STREET
DETROIT MI 48235

Officer/Director/Trustee Three

ANGEL CYARS
SECRETARY
25015 ACACIA
SOUTHFIELD MI 48033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/19
Organization Incorporation State MI
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: 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 DESTINI CANNON
Signature Title CHAIRMAN
Signature Date 7/24/19

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