FORM 1023-EZ for KIDS AT THEBEACH AND OUTREACH INC

Field Data
EIN 30-0780201
Case Number EO-2016119-000367
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIDS AT THEBEACH AND OUTREACH INC
Organization’s Mailing Address 32342 RENDOVA CIR NE
City CAMBRIDGE
State MN
ZIP 55008-6643
Accounting period End 8
Primary contact name KITTY SHIPSHOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KITTY SHIPSHOCK
CHAIRMAN OF THE BOARD
32342 RENDOVA CIR NE
CAMBRIDGE MN 55008-6643

Officer/Director/Trustee Two

ELLEN FORDAHL
VICE CHAIRPERSON
32342 RENDOVA CIR NE
STANCHFIELD MN 55080

Officer/Director/Trustee Three

GRETA NELSON
TREASURER
740 2ND AVE SW
CAMBRIDGE MN 55008-6643

Officer/Director/Trustee Four

MAUREEN GRAILER
MEMBER AT LARGE
495 349TH AVE NE
CAMBRIDGE MN 55008-6643

Officer/Director/Trustee Five

TRUDY HREVEY
SECRETARY
2150 SCOTCH PINE DR
CAMBRIDGE MN 55008-6643

Organization’s website KIDSATTHEBEACH.ORG
Organization’s email KIDSATTHEBEACH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2013
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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