FORM 1023-EZ for KATIE GOLDEN FOUNDATION INC

Field Data
EIN 83-2385844
Case Number EO-2018317-000439
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KATIE GOLDEN FOUNDATION INC
Organization’s Mailing Address 4201 BAYSHORE BLVD UNIT 502
City TAMPA
State FL
ZIP 33611
Accounting period End 12
Primary contact name DAWN GOLDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN GOLDEN
P
4201 BAYSHORE BLVD UNIT 502
TAMPA FL 33611

Officer/Director/Trustee Two

CLIFFORD GOLDEN
VP
4201 BAYSHORE BLVD UNIT 502
TAMPA FL 33611

Officer/Director/Trustee Three

CALLIE NOBLES
T
4201 BAYSHORE BVLD
TAMPA FL 33611

Officer/Director/Trustee Four

MATTHEW NOBLES
S
4201 BAYSHORE BLVD
TAMPA FL 33611

Organization’s website KATIEGOLDEN.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 DAWN GOLDEN
Signature Title P
Signature Date 11/9/18

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