FORM 1023-EZ for GOETZMAN FAMILY FOUNDATION

Field Data
EIN 46-3237042
Case Number EO-2015181-000039
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOETZMAN FAMILY FOUNDATION
Organization’s Mailing Address 13725 METCALF AVE SUITE 263
City OVERLAND PARK
State KS
ZIP 66223-7899
Accounting period End 12
Primary contact name PAUL GOETZMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL GOETZMAN
TRUSTEE
13725 METCALF AVE SUITE 263
OVERLAND PARK KS 66223-7899

Officer/Director/Trustee Two

REBECCA GOETZMAN
TRUSTEE
13725 METCALF AVE SUITE 263
OVERLAND PARK KS 66223-7899

Organization’s website
Organization’s email PGETTY80@YAHOO.COM
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/2013
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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 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 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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