FORM 1023-EZ for JAY AND MARSHA MILLARD FOUNDATION

Field Data
EIN 82-2901482
Case Number EO-2017271-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAY AND MARSHA MILLARD FOUNDATION
Organization’s Mailing Address 305 CROSS ROADS BLVD
City COLD SPRING
State KY
ZIP 41076-2194
Accounting period End 12
Primary contact name JAY MILLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY MILLARD
PRESIDENT
305 CROSS ROADS BLVD
COLD SPRING KY 41076

Officer/Director/Trustee Two

MARSHA MILLARD
DIRECTOR
305 CROSS ROADS BLVD
COLD SPRING KY 41076

Officer/Director/Trustee Three

MADELINE BROWN
DIRECTOR
305 CROSS ROADS BLVD
COLD SPRING KY 41076-2194

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2017
Organization Incorporation State KY
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: 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 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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