FORM 1023-EZ for KELSEY KLING FOUNDATION

Field Data
EIN 83-1110219
Case Number EO-2018205-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KELSEY KLING FOUNDATION
Organization’s Mailing Address 25678 MARAVILLA CT
City VALENCIA
State CA
ZIP 91355
Accounting period End 12
Primary contact name PRISCILLA KLING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PRISCILLA KLING
CHAIRMAN
25678 MARAVILLA CT
VALENCIA CA 91355

Officer/Director/Trustee Two

TRACEY WOODSIDE
VICE CHAIR
19624 BYRNE PLACE
SAUGUS CA 91350

Officer/Director/Trustee Three

AMMON KLING
SECRETARY
25678 MARAVILLA CT
VALENCIA CA 91355

Officer/Director/Trustee Four

NICOLE COUGHLIN
TREASURER
27163 VISTA ENCANTADA DR
VALENCIA CA 91354

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - 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 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 PRISCILLA KLING
Signature Title CHAIRMAN
Signature Date 7/22/18

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