FORM 1023-EZ for GRAY FAMILY CHARITABLE FOUNDATION

Field Data
EIN 81-2013359
Case Number EO-2018155-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRAY FAMILY CHARITABLE FOUNDATION
Organization’s Mailing Address 1320 ARCHER ST
City SAN LUIS OBISPO
State CA
ZIP 93401-3809
Accounting period End 12
Primary contact name PHILIP D GRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILIP GRAY
PRESIDENT
1320 ARCHER ST
SAN LUIS OBISPO CA 93401-3809

Officer/Director/Trustee Two

CAROLYN GRAY
CFO/TREASURER - SECRETARY
1320 ARCHER ST
SAN LUIS OBISPO CA 93401-3809

Officer/Director/Trustee Three

DAVID GRAY
1ST VP -ASST TREASURER/SECY
1320 ARCHER ST
SAN LUIS OBISPO CA 93401-3809

Officer/Director/Trustee Four

KATHLEEN SMITH
2ND VP
625 EVANS RD
SAN LUIS OBISPO CA 93401-8122

Officer/Director/Trustee Five

KAREN GRAY
3RD VP -ASST TREASURER/SECY
1320 ARCHER ST
SAN LUIS OBISPO CA 93401-3809

Organization’s website NONE
Organization’s email PGRAY@MIDSTATE-CAL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/16
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 PHILIP GRAY
Signature Title PRESIDENT
Signature Date 5/31/18

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