FORM 1023-EZ for KIDS IN COMMUNITIES KOUNT INC

Field Data
EIN 46-5064068
Case Number EO-2015268-000143
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIDS IN COMMUNITIES KOUNT INC
Organization’s Mailing Address PO BOX 81592
City ROCHESTER
State MI
ZIP 48308
Accounting period End 12
Primary contact name GRONTHIK CHATTERJEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GRONTHIK CHATTERJEE
PRESIDENT
PO BOX 387
BLOOMFIELD HILLS MI 48303-0387

Officer/Director/Trustee Two

COLLEEN CHAMPINE
SECRETARY
5660 STONEHAVEN BLVD
OAKLAND TOWNSHIP MI 48306

Officer/Director/Trustee Three

DARREN DELAMIELLEURE
TREASURER
4325 NEWARK CIRCLE
GRAND BLANC MI 48315

Officer/Director/Trustee Four

KARRIE MORISETTE
MEMBER AT LARGE
5408 BARRINGTON DRIVE
OAKLAND TWP MI 48306

Officer/Director/Trustee Five

CHARLOTTE SHEPHERD
MEMBER AT LARGE
612 WYNGATE DRIVE
ROCHESTER MI 48307

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2013
Organization Incorporation State MI
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: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
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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