FORM 1023-EZ for ANDERSON FAMILY FOUNDATION

Field Data
EIN 32-0484564
Case Number EO-2017313-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANDERSON FAMILY FOUNDATION
Organization’s Mailing Address 40 VILLAGE GREEN E
City PINEHURST
State NC
ZIP 28374-9355
Accounting period End 12
Primary contact name ROBERT C ANDERSON JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT C ANDERSON JR
TRUSTEE
40 VILLAGE GREEN E
PINEHURST NC 28374

Officer/Director/Trustee Two

ANNE M ANDERSON
TRUSTEE
40 VILLAGE GREEN E
PINEHURST NC 28374

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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