FORM 1023-EZ for KEVIN AND STACY COOK FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-0827202 |
| Case Number | EO-2016362-000424 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | KEVIN AND STACY COOK FOUNDATION |
| Organization’s Mailing Address | 309 HILLMAN DRIVE |
| City | CLARKSVILLE |
| State | TN |
| ZIP | 37040-6664 |
| Accounting period End | 12 |
| Primary contact name | KEVIN T COOK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KEVIN COOK
CO-CHAIR
309 HILLMAN DRIVE
CLARKSVILLE TN 37040-6664
Officer/Director/Trustee Two
STACY COOK
CO-CHAIR
309 HILLMAN DRIVE
CLARKSVILLE TN 37040-6664
Officer/Director/Trustee Three
XAVIER MADISON
PRESIDENT
536 TRACE LANE
LAWRENCEVILLE GA 30043
Officer/Director/Trustee Four
ANDERSON JONES
VICE PRESIDENT
3613 SNAPWOOD ROAD APT F
HOOVER AL 35216
Officer/Director/Trustee Five
GARY COOK
TREASURER
5533 PEACHTREE ROAD
ELLENWOOD GA 30294
| Organization’s website | WWW.KSCFOUNDATION.COM |
|---|---|
| Organization’s email | INFO@KSCFOUNDATION.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/4/2016 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: Yes Literary: No Public Safety: No Amateur Sports: Yes 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 | Yes |
| 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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