FORM 1023-EZ for KAISER CARLILE MEMORIAL FUND

Field Data
EIN 47-4958640
Case Number EO-2016343-000348
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KAISER CARLILE MEMORIAL FUND
Organization’s Mailing Address 1633 N ROOSEVELT
City LIBERAL
State KS
ZIP 67901
Accounting period End 12
Primary contact name JOHNETTE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHNETTE JOHNSON
PRESIDENT
1633 N ROOSEVELT
LIBERAL KS 67901

Officer/Director/Trustee Two

MICHELLE KRUEGER
VICE PRESIENT
PO BOX 207A
ULYSSES KS 67880

Officer/Director/Trustee Three

TRAVIS COMBS
SECRETARY/TREASURER
2140 ROSE LANE
LIBERAL KS 67901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2015
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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