FORM 1023-EZ for KAYLA MILLETTE MEMORIAL FOUNDATION

Field Data
EIN 46-4471852
Case Number EO-2015161-000555
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KAYLA MILLETTE MEMORIAL FOUNDATION
Organization’s Mailing Address 76 WALNUT ST
City OXFORD
State MA
ZIP 01540-2253
Accounting period End 12
Primary contact name KERRY MILLETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KERRY MILLETTE
PRESIDENT
76 WALNUT ST
OXFORD MA 01540-2253

Officer/Director/Trustee Two

KEVIN SEAMAN
VICE PRESIDENT
263 SOUTH ST
AUBURN MA 01501-2790

Officer/Director/Trustee Three

KIMBERLY ATHANASSIADES
SECRETARY
8 BROOK ST
OXFORD MA 01540-2477

Officer/Director/Trustee Four

RANDY SEAMAN
TREASURER
55 SOUTH SPENCER RD
SPENCER MA 01562

Officer/Director/Trustee Five

CRAIG MILLETTE
CO-FOUNDER
76 WALNUT ST
OXFORD MA 01540-2253

Organization’s website
Organization’s email KAYLASFOUNDATION@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 Yes
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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