FORM 1023-EZ for GEORGE H KERR MEMORIAL FOUNDATIONACU-HEMATITE FOUNDATION

Field Data
EIN 47-2829216
Case Number EO-2015021-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GEORGE H KERR MEMORIAL FOUNDATIONACU-HEMATITE FOUNDATION
Organization’s Mailing Address 303 BLANCHARD ROAD
City NATCHITOCHES
State LA
ZIP 71457
Accounting period End 12
Primary contact name RON CHEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RON CHEN
PRESIDENT
303 BLANCHARD ROAD
NATCHITOCHES LA 71457

Officer/Director/Trustee Two

FU-MEI CHEN
VICE PRESIDENT
303 BLANCHARD ROAD
NATCHITOCHES LA 71457

Officer/Director/Trustee Three

PATRICIA CHEN
TREASURER/SECRETARY
71 CHESTNUT STREET APT 1
BOSTON MA 02108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/2015
Organization Incorporation State LA
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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