FORM 1023-EZ for KASEY A RENDER FOUNDATION INC

Field Data
EIN 85-3633689
Case Number EO-2020303-000104
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KASEY A RENDER FOUNDATION INC
Organization’s Mailing Address 20720 SW 116 RD
City MIAMI
State FL
ZIP 33189
Accounting period End 12
Primary contact name KASEY RENDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KASEY RENDER
CEO
20720 SW 116 RD
MIAMI FL 33189

Officer/Director/Trustee Two

NICOLAS OMMATI
P
13370 SW 89 TER UNIT G
MIAMI FL 33186

Officer/Director/Trustee Three

COLEMAN HOWARD
VP
2515 ELMONT DRIVE APT 569
AUSTIN TX 78741

Officer/Director/Trustee Four

NOT APPLICABLE NOT APPLICABLE
NOT APPLICABLE
NOT APPLICABLE
NOT APPLICABLE FL 00000

Officer/Director/Trustee Five

NOT APPLICABLE NOT APPLICABLE
NOT APPLICABLE
NOT APPLICABLE
NOT APPLICABLE FL 00000

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
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 KASEY RENDER
Signature Title CEO
Signature Date 10/27/2020

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