FORM 1023-EZ for KIDNEY KUEENS RENALICIOUS MEALS & MORE INC

Field Data
EIN 86-1637312
Case Number EO-2021174-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIDNEY KUEENS RENALICIOUS MEALS & MORE INC
Organization’s Mailing Address 817 14TH ST
City PASCAGOULA
State MS
ZIP 39567
Accounting period End 12
Primary contact name ALEXIS ASHFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXIS ASHFORD
FOUNDER
817 14TH ST
PASCAGOULA MS 39567

Officer/Director/Trustee Two

ANDREA FRANKLIN
VICE PRESIDENT CFO
7201 FOSSIL HILL DR
ARLINGTON TX 76002

Officer/Director/Trustee Three

MANICIA LIDDELL
DIRECTOR
3421 BIG POINT RD
MOSS POINT MS 39562

Officer/Director/Trustee Four

ROMA PATEL
SECRETARY TREASURE
817 14TH ST
PASCAGOULA MS 39567

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2021
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G44 - Kidney Disease
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 Yes
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 ALEXIS ASHFORD
Signature Title FOUNDER
Signature Date 6/22/2021

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