| Field | Data |
|---|---|
| EIN | 86-1784892 |
| Case Number | EO-2021141-000809 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COACH KACIE MEMORIAL FOUNDATION |
| Organization’s Mailing Address | 754 KESTREL CT |
| City | SOUTH LYON |
| State | MI |
| ZIP | 48178 |
| Accounting period End | 12 |
| Primary contact name | KEN VANBUSKIRK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KEN VANBUSKIRK
PRESIDENT
754 KESTREL CT
SOUTH LYON MI 48178
MELISSA LANE
DIRECTOR
297 CARNOUSLIE
HIGHLAND MI 48357
JULIE VANBUSKIRK
DIRECTOR
754 KESTREL CT
SOUTH LYON MI 48178
CLAY PAUL
DIRECTOR
61440 RICHFIELD STREET
SOUTH LYON MI 48178
| Organization’s website | KACIESTRONG.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/22/2021 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N67 - Swimming, Water Recreation |
| 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 | 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 | KEN VANBUSKIRK |
| Signature Title | PRESIDENT |
| Signature Date | 5/19/2021 |
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