FORM 1023-EZ for KELLY JOHNSON FOUNDATION INC

Field Data
EIN 47-2769095
Case Number EO-2015016-000012
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KELLY JOHNSON FOUNDATION INC
Organization’s Mailing Address 1085 ROLLING GREEN DRIVE
City WAUKESHA
State WI
ZIP 53186
Accounting period End 12
Primary contact name KELLY JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLY JOHNSON
PRESIDENT
1085 ROLLING GREEN DRIVE
WAUKESHA WI 53186

Officer/Director/Trustee Two

NEAL JOHNSON
DIRECTOR
1085 ROLLING GREEN DRIVE
WAUKESHA WI 53186

Officer/Director/Trustee Three

DIANE JOHNSON
DIRECTOR
1085 ROLLING GREEN DRIVE
WAUKESHA WI 53186

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2014
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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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