FORM 1023-EZ for LT MARK P KAKERT MEMORIAL FIRE PREVENTION AND EDUCATION FOUNDATION

Field Data
EIN 82-2337508
Case Number EO-2017235-000499
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LT MARK P KAKERT MEMORIAL FIRE PREVENTION AND EDUCATION FOUNDATION
Organization’s Mailing Address 9 IMPERIAL CT
City DAVENPORT
State IA
ZIP 52807-2216
Accounting period End 8
Primary contact name MELISSA KAKERT-MUSSMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAITLIN KAKERT
CO-CHAIR
220 E 37TH ST APT A6
DAVENPORT IA 52806-6023

Officer/Director/Trustee Two

LAURA KAKERT
CO-CHAIR
2136 GROVE ST
DAVENPORT IA 52804-2419

Officer/Director/Trustee Three

MELISSA KAKERT-MUSSMANN
CO-CHAIR
9 IMPERIAL CT
DAVENPORT IA 52807-2216

Officer/Director/Trustee Four

PAIGE WIEBLER
ADVISOR
307 49TH ST
DES MOINES IA 50312-2507

Officer/Director/Trustee Five

CATHERINE RUTTEN
ADVISOR
2417 ARMIL PLACE
DAVENPORT IA 52804-1943

Organization’s website HTTPS://KAKERTMEMORIALFOUNDATION.ORG
Organization’s email KAKERTMEMORIALFOUNDATION@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2017
Organization Incorporation State IA
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: 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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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