FORM 1023-EZ for KEN RILEY FOUNDATION INC

Field Data
EIN 81-4763159
Case Number EO-2017044-000339
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEN RILEY FOUNDATION INC
Organization’s Mailing Address P O BOX 2164
City BARTOW
State FL
ZIP 33831
Accounting period End 12
Primary contact name JOYCE G THURMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH RILEY
PRESIDENT
1865 EAST GIBBONS
BARTOW FL 33830

Officer/Director/Trustee Two

THOMAS BURKETT
VICE PRESIDENT
9271 EDENSHIRE CIRCLE
ORLANDO FL 32836

Officer/Director/Trustee Three

JOYCE THURMAN
SECRETARY
P O BOX 493
BARTOW FL 33831

Officer/Director/Trustee Four

OTTO BROWN
TREASURER
1315 EAST BAY STREET
BARTOW FL 33830

Organization’s website
Organization’s email CALPURTA@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2017
Organization Incorporation State FL
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: 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 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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