FORM 1023-EZ for CK FOUNDATION

Field Data
EIN 86-2740766
Case Number EO-2021102-000613
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CK FOUNDATION
Organization’s Mailing Address 10766 ANGELA DR
City KIRTLAND
State OH
ZIP 44094-9667
Accounting period End 12
Primary contact name BILL DRAGOLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILL DRAGOLAS
EXECUTIVE DIRECTOR
10766 ANGELA DR
KIRTLAND OH 44094-9667

Officer/Director/Trustee Two

DAFNE RADACHY
VICE PRESIDENT
5985 WEDGEWOOD DR
MENTOR ON THE LAKE OH 44060-3046

Officer/Director/Trustee Three

KONSTANTINA CAPUOZZO
SECRETARY
20950 FULLER AVE
EUCLID OH 44123-2651

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 BILL DRAGOLAS
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/1/2021

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