FORM 1023-EZ for MARISSA LYBARGER FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-0695520 |
| Case Number | EO-2018184-000092 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MARISSA LYBARGER FOUNDATION |
| Organization’s Mailing Address | 1433 MISSION DR W |
| City | CLEARWATER |
| State | FL |
| ZIP | 33759 |
| Accounting period End | 12 |
| Primary contact name | KEITH KEHRER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DIANE LYBARGER
PRESIDENT
1433 MISSION DR W
CLEARWATER FL 33759
Officer/Director/Trustee Two
TRACEY LYBARGER
DIRECTOR
1433 MISSION DR W
CLEARWATER FL 33759
Officer/Director/Trustee Three
KIM SIEFKAS
DIRECTOR
1433 MISSION DR W
CLEARWATER FL 33759
Officer/Director/Trustee Four
KEITH KEHRER
ASSISTANT SECRETARY
211 N BROADWAY SUITE 3600
SAINT LOUIS MO 63102
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/29/18 |
| Organization Incorporation State | MO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: Yes Literary: Yes 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 | Yes |
| 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 | KEITH KEHRER |
| Signature Title | ASSISTANT SECRETARY |
| Signature Date | 7/1/18 |
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