FORM 1023-EZ for OPTIMIST CLUB OF PERDIDO BAY FOUNDATION

Field Data
EIN 83-1095268
Case Number EO-2018187-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPTIMIST CLUB OF PERDIDO BAY FOUNDATION
Organization’s Mailing Address PO BOX 87
City LILLIAN
State AL
ZIP 36549
Accounting period End 12
Primary contact name JEFF KEENER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF KEENER
PRESIDENT
2697 PINE RIDGE DRIVE
LILLIAN AL 36549

Officer/Director/Trustee Two

LEE HOFFMAN
TREASURER
34130 KATHRYN DRIVE
LILLIAN AL 36549

Officer/Director/Trustee Three

SALLY MCKINNEY
SECRETARY
1508 MARTINEZ DRIVE
LILLIAN AL 36549

Officer/Director/Trustee Four

EDWIN WILKINSON
VICE PRESIDENT
9680 PERDIDO VISTA
PERDIDO BEACH AL 36530

Officer/Director/Trustee Five

PRICE LEGG
FOUNDATION REPRESENTATIVE
12170 COUNTY ROAD 99
LILLIAN AL 36549

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/18
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - 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 JEFF KEENER
Signature Title PRESIDENT
Signature Date 7/3/18

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