FORM 1023-EZ for BURKE FAMILY MEMORIAL FOUNDATION

Field Data
EIN 82-3400662
Case Number EO-2018229-000430
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BURKE FAMILY MEMORIAL FOUNDATION
Organization’s Mailing Address 1030 N CENTER PARKWAY STE 220
City KENNEWICK
State WA
ZIP 99336
Accounting period End 12
Primary contact name TIMOTHY M COLEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD JOHN BURKE III
PRESIDENT/TREASURER/CEO
7606 W 21ST AVE
KENNEWICK WA 99338

Officer/Director/Trustee Two

JOHN JANUS
VICE PRESIDENT/DIRECTOR
900 VILLA DEL SOL
EL DORADO HILLS CA 95762

Officer/Director/Trustee Three

CHRISTOPHER BEZOLD
DIRECTOR
12380 SAGE VIEW RD
POWAY CA 92604

Officer/Director/Trustee Four

DONNA BURKE
DIRECTOR
2800 S OCEAN BLVD 6G
BOCA RATON FL 33432

Officer/Director/Trustee Five

JULIANA BURKE
DIRECTOR
7606 W 21ST AVE
KENNEWICK WA 99338

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/17
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, 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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 EDWARD JOHN BURKE III
Signature Title PRESIDENT/TREASURER/CEO
Signature Date 8/15/18

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