FORM 1023-EZ for PAUL J KELLEY CHARITABLE FOUNDATIONINC

Field Data
EIN 27-1619384
Case Number EO-2014303-000530
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAUL J KELLEY CHARITABLE FOUNDATIONINC
Organization’s Mailing Address 6030 DAYBREAK CIRCLE SUITE 150A
City CLARKSVILLE
State MD
ZIP 21029-1638
Accounting period End 12
Primary contact name JOHN J TEMPLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLIE MCCABE
PRESIDENT
3501 TWIN KNOLLS ROAD
COLUMBIA MD 21044

Officer/Director/Trustee Two

JOHN TEMPLE
VICE PRESIDENT
7001 BRIGHT MEMORY DRIVE
COLUMBIA MD 21044

Officer/Director/Trustee Three

DANIEL NOWAK
TREASURER
6425 WESTERN STAR
CLARKSVILLE MD 21029

Officer/Director/Trustee Four

JAN PEEDIN
SECRETARY
6514 BARLEY CORN ROW
CLARKSVILLLE MD 21029

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2010
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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