FORM 1023-EZ for KELLER EMPLOYEES BENEVOLENCE FUND INC
| Field | Data |
|---|---|
| EIN | 84-3701757 |
| Case Number | EO-2019360-000410 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KELLER EMPLOYEES BENEVOLENCE FUND INC |
| Organization’s Mailing Address | 24862 ELLIOTT RD |
| City | DEFIANCE |
| State | OH |
| ZIP | 43512 |
| Accounting period End | 12 |
| Primary contact name | JENIFER NICELLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JENIFER NICELLEY
PRESIDENT
24862 ELLIOTT RD
DEFIANCE OH 43512
Officer/Director/Trustee Two
MARIAH HURST
TRUSTEE
24862 ELLIOTT RD
DEFIANCE OH 43512
Officer/Director/Trustee Three
MEREDITH MICKEY
SECRETARY
24862 ELLIOTT RD
DEFIANCE OH 43512
Officer/Director/Trustee Four
RANDALL SCHAD
TRUSTEE
24862 ELLIOTT RD
DEFIANCE OH 43512
Officer/Director/Trustee Five
RYAN GILLILAND
TRUSTEE
24862
DEFIANCE OH 43512
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/13/2019 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P60 - Emergency Assistance (Food, Clothing, Cash) |
| 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 | 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 | JENIFER NICELLEY |
| Signature Title | PRESIDENT |
| Signature Date | 12/24/2019 |
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