FORM 1023-EZ for CARTER TOUGH FOUNDATION

Field Data
EIN 82-1853768
Case Number EO-2021064-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARTER TOUGH FOUNDATION
Organization’s Mailing Address 509 WILD PLUM CIRCLE
City DERBY
State KS
ZIP 67037
Accounting period End 12
Primary contact name BRICE ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRICE ROBERTS
PRESIDENT
509 WILD PLUM CIRCLE
DERBY KS 67037

Officer/Director/Trustee Two

KATIE ROBERTS
VICE PRESIDENT
509 WILD PLUM CIRCLE
DERBY KS 67037

Officer/Director/Trustee Three

BRYAN MACKEY
DIRECTOR
1212 E BLUESTEM CT
ANDOVER KS 67002

Officer/Director/Trustee Four

KATIE HOLTZINGER
DIRECTOR
10430 E 39TH CT S
DERBY KS 67037

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2017
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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 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 BRICE ROBERTS
Signature Title PRESIDENT
Signature Date 1/3/2021

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