FORM 1023-EZ for KIM YIRGA FAMILY FOUNDATION

Field Data
EIN 47-1519052
Case Number EO-2014240-000574
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIM YIRGA FAMILY FOUNDATION
Organization’s Mailing Address 1156 HILLCREEK LANE
City GATES MILLS
State OH
ZIP 44040
Accounting period End 12
Primary contact name JOHN A YIRGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN A YIRGA
PRESIDENT
1156 HILLCREEK LANE
GATES MILLS OH 44040

Officer/Director/Trustee Two

CHRISTINA GERMOVSEK
VICE PRESIDENT
10925 COPPERLEAF DRIVE
CHARDON OH 44024

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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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