FORM 1023-EZ for KEN WELTON JR FOUNDATION INC

Field Data
EIN 47-4438681
Case Number EO-2015239-000124
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEN WELTON JR FOUNDATION INC
Organization’s Mailing Address 39985 VIA OPORTA
City MURRIETA
State CA
ZIP 92562
Accounting period End 12
Primary contact name LORIE HERRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LORIE HERRICK
PRESIDENT
39985 VIA OPORTA
MURRIETA CA 92562

Officer/Director/Trustee Two

JAVIER GARCIA
SECRETARY
22054 INDEPENDENCIA ST
WOODLAND HILLS CA 91364-3732

Officer/Director/Trustee Three

RYAN PYLE
TREASURER
39426 JESSIE CIRCLE
TEMECULA CA 92591-7214

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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