FORM 1023-EZ for KAIMEN CENTER INC

Field Data
EIN 47-3596506
Case Number EO-2015093-000338
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KAIMEN CENTER INC
Organization’s Mailing Address 9076 NEIL ST
City OLIVE BRANCH
State MS
ZIP 38654-3029
Accounting period End 12
Primary contact name DAN HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIEL HARRIS
EXECUTIVE DIRECTOR
9076 NEIL ST
OLIVE BRANCH MS 38654-3029

Officer/Director/Trustee Two

ADAM BAKER
DIRECTOR
9400 GOODMAN AV APT 3414
OLIVE BRANCH MS 38654-1733

Officer/Director/Trustee Three

RACHEL MARSH
DIRECTOR
8313 BERKLEY DRIVE
SOUTHAVEN MS 38671-7333

Officer/Director/Trustee Four

MATTHEW BOWEN
TREASURER
4745 THORNBURY COVE
SOUTHAVEN MS 38672-9589

Officer/Director/Trustee Five

LAURA HOYER
SECRETARY
7320 W SHAHKOKA DR
OLIVE BRANCH MS 38654-1146

Organization’s website KAIMENCENTER.ORG
Organization’s email DAN@KAIMENCENTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2015
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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
Signature Title
Signature Date

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