FORM 1023-EZ for CHRISTOPHER T KELLER FOUNDATION

Field Data
EIN 47-2555500
Case Number EO-2015082-000340
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHRISTOPHER T KELLER FOUNDATION
Organization’s Mailing Address 504 GIRARD BLVD SE
City ALBUQUERQUE
State NM
ZIP 87106
Accounting period End 12
Primary contact name REBECCA W KELLER CEO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REBECCA KELLER
CEO
504 GIRARD BLVD SE
ALBUQUERQUE NM 87106

Officer/Director/Trustee Two

PETER HOLTER
CFO
6708 CALLE SANTIAGO NE
ALBUQUERQUE NM 87113

Officer/Director/Trustee Three

JOAN GRIFFIN
CHAIRPERSON
618 LAFAYETTE DRIVE NE
ALBUQUERQUE NM 87106

Officer/Director/Trustee Four

TOM DEA
DIRECTOR
4043 S WISTERIA WAY
DENVER CO 80237

Officer/Director/Trustee Five

DAVID KELLER
DIRECTOR
615 VASSAR DR NE
ALBUQUERQUE NM 87106

Organization’s website WWW.CTKF.COM
Organization’s email RWKELLER@CTKF.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2015
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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