FORM 1023-EZ for KELSEY COMMUNITY SHOP INC

Field Data
EIN 82-5239583
Case Number EO-2018143-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KELSEY COMMUNITY SHOP INC
Organization’s Mailing Address 3969 FAIRVIEW AVENUE
City DOWNERS GROVE
State IL
ZIP 60515
Accounting period End 12
Primary contact name KELSEY MORAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELSEY MORAN
PRESIDENT
3969 FAIRVIEW AVENUE
DOWNERS GROVE IL 60515

Officer/Director/Trustee Two

ZACH MORAN
TREASURER
3969 FAIRVIEW AVENUE
DOWNERS GROVE IL 60521

Officer/Director/Trustee Three

KEITH BRADLEY
CHAIRPERSON/DIRCTOR
2201 PORTSIDE LAKE CT
PLAINFIELD IL 60586

Officer/Director/Trustee Four

BEVERLY MORAN
DIRECTOR
3969 FAIRVIEW AVENUE
DOWNERS GROVE IL 60515

Officer/Director/Trustee Five

PATRICK MORAN
DIRECTOR
3969 FAIRVIEW AVENUE
DOWNERS GROVE IL 60515

Organization’s website WWW.SHOPKELSEYRESALE.COM
Organization’s email KELSEYSCOMMUNITY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T11 - Single Organization Support
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 Yes
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 KELSEY MORAN
Signature Title PRESIDENT
Signature Date 5/21/18

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