FORM 1023-EZ for KEN OLSEN FOUNDATION

Field Data
EIN 82-2344773
Case Number EO-2017215-000581
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEN OLSEN FOUNDATION
Organization’s Mailing Address 2540 S BURLESON BLVD
City BURLESON
State TX
ZIP 76028
Accounting period End 12
Primary contact name ROBERT CRAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NILS OLSEN
DIRECTOR, PRESIDENT
2540 S BURLESON BLVD
BURLESON TX 76028

Officer/Director/Trustee Two

JUDY COADY
DIRECTOR
2909 COVERT AVE
FORT WORTH TX 76133

Officer/Director/Trustee Three

ROBERT CRAIN
DIRECTOR, SECRETARY/TREASURER
2512 WILLS WAY DRIVE
GRANBURY TX 76049

Organization’s website HTTP://WWW.KENOLSENFOUNDATION.ORG
Organization’s email INFO@KENOLSENFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
One Third Support Gifts No
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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