FORM 1023-EZ for CHILD RESPITE RESOURCE FOUNDATION

Field Data
EIN 85-0641120
Case Number EO-2020100-000104
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHILD RESPITE RESOURCE FOUNDATION
Organization’s Mailing Address 28281
City CATOOSA
State OK
ZIP 74015
Accounting period End 12
Primary contact name ADRIENNE KALLWEIT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE WHITE
BOARD OF DIRECTOR
6326
TULSA OK 74136

Officer/Director/Trustee Two

MEGAN BOYLE
BOARD OF DIRECTOR
5405 WESTRIDGE DRIVE
BOULDER CO 80301

Officer/Director/Trustee Three

ADRIENNE KALLWEIT
OFFICER
28281 E 6TH PL
CATOOSA OK 74015

Organization’s website WWW.CHILDRESPITERESOURCE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2020
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 ADRIENNE KALLWEIT
Signature Title OFFICER
Signature Date 4/7/2020

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