FORM 1023-EZ for KAITLYN ECKELBERRY MEMORIAL FUND

Field Data
EIN 85-1724593
Case Number EO-2020188-000585
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KAITLYN ECKELBERRY MEMORIAL FUND
Organization’s Mailing Address 5484 FLEETWOOD AVE NW
City CANTON
State OH
ZIP 44718-1440
Accounting period End 12
Primary contact name CAROLYN CORRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES ECKELBERRY
PRESIDENT
5484 FLEETWOOD AVE NW
CANTON OH 44718-1440

Officer/Director/Trustee Two

LORI ECKELBERRY
VICE PRESIDENT
5484 FLEETWOOD AVE NW
CANTON OH 44718-1440

Officer/Director/Trustee Three

CAROLYN CORRELL
TREASURER
4998 SIMSBURY CIR NW
MASSILLON OH 44646-9578

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
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 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 JAMES ECKELBERRY
Signature Title PRESIDENT
Signature Date 7/2/2020

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