FORM 1023-EZ for KIDS FOR SPORTS FOUNDATION

Field Data
EIN 46-5336878
Case Number EO-2014230-000135
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIDS FOR SPORTS FOUNDATION
Organization’s Mailing Address 403 PARADISE PARKWAY
City MESQUITE
State NV
ZIP 89027
Accounting period End 6
Primary contact name KATHRYN BUSSMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CORY CLEMETSON
PRESIDENT
5310 KIETZKE LANE STE 205
RENO NV 89511

Officer/Director/Trustee Two

KATHRYN BUSSMAN
TREASURER/SECRETARY
403 PARADISE PARKWAY
MESQUITE NV 89027

Officer/Director/Trustee Three

CHAD CLEMETSON
DIRECTOR
5310 KIETZKE LANE STE 205
RENO NV 89511

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2014
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 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
Signature Title
Signature Date

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