FORM 1023-EZ for KATHYS KIDS ALS FOUNDATION

Field Data
EIN 84-4550527
Case Number EO-2020036-000317
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KATHYS KIDS ALS FOUNDATION
Organization’s Mailing Address 36578 MAPLE LEAF DRIVE
City NEW BALTIMORE
State MI
ZIP 48047
Accounting period End 12
Primary contact name AARON MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT PURGATORI
PRESIDENT
36578 MAPLE LEAF DRIVE
NEW BALTIMORE MI 48047

Officer/Director/Trustee Two

KRISTINE MARTELL
VICE PRESIDENT
36578 MAPLE LEAF DRIVE
NEW BALTIMORE MI 48047

Officer/Director/Trustee Three

GINA MARTINEZ-WEYHRAUCH
TREASURER
36578 MAPLE LEAF DRIVE
NEW BALTIMORE MI 48047

Officer/Director/Trustee Four

AARON MARTINEZ
SECRETARY
36578 MAPLE LEAF DRIVE
NEW BALTIMORE MI 48047

Officer/Director/Trustee Five

FREDERICK MARTINEZ
BOARD MEMBER
36578 MAPLE LEAF DRIVE
NEW BALTIMORE MI 48047

Organization’s website
Organization’s email KATHYSKIDSFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G50 - Nerve, Muscle and Bone Diseases
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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 Yes
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 AARON MARTINEZ
Signature Title SECRETARY
Signature Date 2/3/2020

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