FORM 1023-EZ for KLOECKNER METALS RELIEF FUND INC

Field Data
EIN 82-2676811
Case Number EO-2017304-000086
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KLOECKNER METALS RELIEF FUND INC
Organization’s Mailing Address 500 COLONIAL CENTER PKWY STE 500
City ROSWELL
State GA
ZIP 30076-8853
Accounting period End 12
Primary contact name MATTHEW KLUMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD GRUCA
PRESIDENT, BOARD MEMBER
500 COLONIAL CENTER PKWY STE 500
ROSWELL GA 30076-8853

Officer/Director/Trustee Two

RONALD WALKER
VICE PRESIDENT, BOARD MEMBER
500 COLONIAL CENTER PKWY STE 500
ROSWELL GA 30076-8853

Officer/Director/Trustee Three

MATTHEW KLUMP
TREASURER, BOARD MEMBER
500 COLONIAL CENTER PKWY STE 500
ROSWELL GA 30076-8853

Officer/Director/Trustee Four

VIVIAN LAINEZ
SECRETARY, BOARD MEMBER
500 COLONIAL CENTER PKWY STE 500
ROSWELL GA 30076-8853

Officer/Director/Trustee Five

SARAH LABARBARA
BOARD MEMBER
500 COLONIAL CENTER PKWY STE 500
ROSWELL GA 30076-8853

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2017
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 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
Signature Title
Signature Date

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