FORM 1023-EZ for THE CHERYL LYN WELTER FAMILY CHARITABLE FOUNDATION

Field Data
EIN 46-7376554
Case Number EO-2016095-000472
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CHERYL LYN WELTER FAMILY CHARITABLE FOUNDATION
Organization’s Mailing Address 1403 EAST CULVER ROAD
City KNOX
State IN
ZIP 46534
Accounting period End 12
Primary contact name HAROLD WELTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HAROLD WELTER
TRUSTEE
1403 EAST CULVER ROAD
KNOX IN 46534-0195

Officer/Director/Trustee Two

BECKY WELTER
TRUSTEE
1403 EAST CULVER ROAD
KNOX IN 46534-0195

Officer/Director/Trustee Five

HAROLD WELTER
TRUSTEE
1403 EAST CULVER ROAD
KNOX IN 46534-0195

Organization’s website
Organization’s email HAWELTER@YAHOO.COM
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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