FORM 1023-EZ for KELLI JOY OLAUGHLIN MEMORIAL FOUNDATION

Field Data
EIN 47-1399206
Case Number EO-2014233-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KELLI JOY OLAUGHLIN MEMORIAL FOUNDATION
Organization’s Mailing Address 6309 KEOKUK
City INDIAN HEAD PARK
State IL
ZIP 60525
Accounting period End 6
Primary contact name JOHN OLAUGHLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN OLAUGHLIN
DIRECTOR
6309 KEOKUK
INDIAN HEAD PARK IL 60525

Officer/Director/Trustee Two

BRENDA OLAUGHLIN
DIRECTOR
6309 KEOKUK
INDIAN HEAD PARK IL 60525

Officer/Director/Trustee Three

BRIDGETTE DOUGLAS
DIRECTOR
9815 PRARIE CREEK ROAD
LENEXA KS 66220

Officer/Director/Trustee Four

DOUGLAS PORTER
DIRECTOR
4804 LAWN AVE
WESTERN SPRINGS IL 60558

Officer/Director/Trustee Five

RICK HEINZ
DIRECTOR
417 N BRUNER PL
HINSDALE IL 60521

Organization’s website HTTP://KELLIJOYOLAUGHLINMEMORIALFUND.COM/
Organization’s email JOHN.OLAUGHLIN1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2014
Organization Incorporation State IL
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 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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