FORM 1023-EZ for KIDS RETREAT FAMILY CORPORATION

Field Data
EIN 84-4131180
Case Number EO-2020098-000047
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIDS RETREAT FAMILY CORPORATION
Organization’s Mailing Address 333 N ALABAMA STREET STE 350
City INDIANAPOLIS
State IN
ZIP 46204
Accounting period End 12
Primary contact name CHERYL BLUNT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL BLUNT
PRESIDENT/DIRECTOR
5323 WETHERBY COURT
INDIANAPOLIS IN 46254

Officer/Director/Trustee Two

WALTER BLUNT
TREASURER/DIRECTOR
5323 WETHERBY COURT
INDIANAPOLIS IN 46254

Officer/Director/Trustee Three

CHERRELL PITTMAN
SECRETARY
4812 CROSS CREEK DRIVE
INDIANAPOLIS IN 46254

Officer/Director/Trustee Four

BRANDON BLUNT
DIRECTOR
4951 OAKWOOD TRAIL
INDIANAPOLIS IN 46268

Organization’s website
Organization’s email KIDSRETREAT@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/2019
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 CHERYL BLUNT
Signature Title PRESIDENT/DIRECTOR
Signature Date 4/1/2020

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