FORM 1023-EZ for THE MORAILES FOUNDATION INC

Field Data
EIN 81-0896927
Case Number EO-2015362-000070
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MORAILES FOUNDATION INC
Organization’s Mailing Address 1729 HIDDEN FOREST LANE
City JACKSONVILLE
State FL
ZIP 32225
Accounting period End 12
Primary contact name KEITH VAN DER LEEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TELLIA VAN DER LEEST
PRESIDENT
1729 HIDDEN FOREST LANE
JACKSONVILLE FL 32225

Officer/Director/Trustee Two

MEAGAN AILES
VICE PRESIDENT
1729 HIDDEN FOREST LANE
JACKSONVILLE FL 32225

Officer/Director/Trustee Three

KEITH VAN DER LEEST
DIRECTOR
1729 HIDDEN FOREST LANE
JACKSONVILLE FL 32225

Organization’s website
Organization’s email THEMORAILESFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
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 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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