FORM 1023-EZ for KAY F TOOMBS MEMORIAL FOUNDATION

Field Data
EIN 83-1904731
Case Number EO-2018263-000367
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KAY F TOOMBS MEMORIAL FOUNDATION
Organization’s Mailing Address 5827 LARCHWOOD DR
City DISPUTANTA
State VA
ZIP 23842
Accounting period End 6
Primary contact name LARRY TOOMBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY TOOMBS
PRESIDENT, DIRECTOR
5827 LARCHWOOD DR
DISPUTANTA VA 23842

Officer/Director/Trustee Two

PAIGE NUNN
SECRETARY, DIRECTOR
104 SLEEPY CREEK DR
DUDLEY NC 28333

Officer/Director/Trustee Three

BRIAN ROYAL
TREASURER, DIRECTOR
3905 SAVANNAH DR
CHESAPEAKE VA 23322

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LARRY TOOMBS
Signature Title PRESIDENT, DIRECTOR
Signature Date 9/18/18

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