FORM 1023-EZ for THE BIG WILL MCKELTON FIGHT FOR LIFE FOUNDATION

Field Data
EIN 82-4211905
Case Number EO-2018064-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BIG WILL MCKELTON FIGHT FOR LIFE FOUNDATION
Organization’s Mailing Address 5752 NW BELWOOD CIRCLE
City PORT SAINT LUCIE
State FL
ZIP 34986
Accounting period End 4
Primary contact name KERRY PARKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNY BERRY
VP
746 SE EVERGREEN TERRACE
PORT SAINT LUCIE FL 34986

Officer/Director/Trustee Two

KAYLA MITCHELL
ETC
2485 ATLANTIS AVENUE
FORT PIERCE FL 34981

Officer/Director/Trustee Three

KERRY PARKS
P
5752 NW BELWOOD CIRCLE
PORT SAINT LUCIE FL 34986

Organization’s website
Organization’s email BIGWILLMCKELTONFIGHT4LIFE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 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 KERRY PARKS
Signature Title P
Signature Date 3/2/18

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