FORM 1023-EZ for NETTIE G KING FOUNDATION

Field Data
EIN 81-6212158
Case Number EO-2016161-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NETTIE G KING FOUNDATION
Organization’s Mailing Address 107 TRIBAL ROAD
City LOUISVILLE
State KY
ZIP 40207
Accounting period End 12
Primary contact name WILLIAM P SCHMITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NETTIE KING
TRUSTEE
107 TRIBAL ROAD
LOUISVILLE KY 40207-1515

Officer/Director/Trustee Two

KAREN KING
TRUSTEE
107 TRIBAL ROAD
LOUISVILLE KY 40207-1515

Officer/Director/Trustee Three

TAYLOR BRANTLEY
TRUSTEE
107 TRIBAL ROAD
LOUISVILLE KY 40207-1515

Organization’s website N/A
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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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