FORM 1023-EZ for KHYLA N DENNIS MEMORIAL FOUNDATIONINC

Field Data
EIN 82-5432550
Case Number EO-2018205-000068
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KHYLA N DENNIS MEMORIAL FOUNDATIONINC
Organization’s Mailing Address 911 PRIMROSE LANE
City HINESVILLE
State GA
ZIP 31313-1047
Accounting period End 12
Primary contact name DAISY JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA DENNIS
PRESIDENT/CEO
911 PRIMROSE LANE
HINESVILLE GA 31313-1047

Officer/Director/Trustee Two

JARRAD TURNER
VICE PRESIDENT
5219 BEECH FOREST DRIVE
LILBURN GA 30047-5356

Officer/Director/Trustee Three

ANTHONY DENNIS
SECRETARY
1456 SHERIDAN POINT
HINESVILLE GA 31313-1047

Officer/Director/Trustee Four

VENEISA RIDDICK
TREASURER
610 RED OAK LANE
HINESVILLE GA 31313-1047

Officer/Director/Trustee Five

DEMONE ALEXANDER
BOARD MEMBER
329 KIMBROUGH DRIVE
GREENWOOD IN 46143-8113

Organization’s website WWW.KNDMEMORIALFOUNDATION.ORG
Organization’s email KNDMEMORIALFUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 PAMELA DENNIS
Signature Title PRESIDENT/CEO
Signature Date 7/20/18
EIN 82-5432550
Case Number EO-2018205-000068
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KHYLA N DENNIS MEMORIAL FOUNDATION INC
Organization’s Mailing Address 911 PRIMROSE LANE
City HINESVILLE
State GA
ZIP 31313-1047
Accounting period End 12
Primary contact name DAISY JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA DENNIS
PRESIDENT/CEO
911 PRIMROSE LANE
HINESVILLE GA 31313-1047

Officer/Director/Trustee Two

JARRAD TURNER
VICE PRESIDENT
5219 BEECH FOREST DRIVE
LILBURN GA 30047-5356

Officer/Director/Trustee Three

ANTHONY DENNIS
SECRETARY
1456 SHERIDAN POINT
HINESVILLE GA 31313-1047

Officer/Director/Trustee Four

VENEISA RIDDICK
TREASURER
610 RED OAK LANE
HINESVILLE GA 31313-1047

Officer/Director/Trustee Five

DEMONE ALEXANDER
BOARD MEMBER
329 KIMBROUGH DRIVE
GREENWOOD IN 46143-8113

Organization’s website WWW.KNDMEMORIALFOUNDATION.ORG
Organization’s email KNDMEMORIALFUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 PAMELA DENNIS
Signature Title PRESIDENT/CEO
Signature Date 7/20/18

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