FORM 1023-EZ for KAREN K FOUNDATION

Field Data
EIN 82-3240890
Case Number EO-2017305-000471
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KAREN K FOUNDATION
Organization’s Mailing Address 170 NORTH ROAD
City EAST WINDSOR
State CT
ZIP 06088
Accounting period End 6
Primary contact name KAREN GASTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN GASTON
CEO
170 NORTH ROAD
EAST WINDSOR CT 06088

Organization’s website
Organization’s email KL@ELEGANTSTATEOFMIND.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2017
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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