FORM 1023-EZ for KAYCEE ANSETH LEGACY FOUNDATION
| Field | Data |
|---|---|
| EIN | 85-1000947 |
| Case Number | EO-2020156-000190 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KAYCEE ANSETH LEGACY FOUNDATION |
| Organization’s Mailing Address | 50 SE SCOTT STREET NUMBER 6 |
| City | BEND |
| State | OR |
| ZIP | 97702 |
| Accounting period End | 12 |
| Primary contact name | CARI BROWN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHANAN KELLEY
PRESIDENT
50 SE SCOTT STREET NUMBER 6
BEND OR 97702
Officer/Director/Trustee Two
CARI BROWN
SECRETARY
50 SE SCOTT STREET NUMBER 6
BEND OR 97702
Officer/Director/Trustee Three
ERIN MCDANIEL
DIRECTOR
50 SE SCOTT STREET NUMBER 6
BEND OR 97702
Officer/Director/Trustee Four
KRISTINA CYR
DIRECTOR
50 SE SCOTT STREET NUMBER 6
BEND OR 97702
Officer/Director/Trustee Five
KIMBERLY PAXTON-HAGNER
DIRECTOR
50 SE SCOTT STREET NUMBER 6
BEND OR 97702
| Organization’s website | |
|---|---|
| Organization’s email | KAYCEEANSETHLF@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/13/2020 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A12 - Fund Raising and/or Fund Distribution |
| 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 | 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 | SHANAN KELLEY |
| Signature Title | PRESIDENT |
| Signature Date | 6/2/2020 |
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