FORM 1023-EZ for AMY E KELLY EDUCATION FOUNDATION

Field Data
EIN 46-4263928
Case Number EO-2017310-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMY E KELLY EDUCATION FOUNDATION
Organization’s Mailing Address 1815 CHANDELLAY DRIVE
City DURHAM
State NC
ZIP 27705
Accounting period End 12
Primary contact name JACQUELINE STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUTHER BROOKS
PUBLIC RELATIONS DIRECTOR
1305 W CLUB BLVD
DURHAM NC 27705

Officer/Director/Trustee Two

BAHARI HARRIS
BOARD CHAIR
1109 BERKELEY ST
DURHAM NC 27705

Officer/Director/Trustee Three

JESSICA LINTON
TREASURER
1543 RAVEN WOOD DRIVE
CREEDMOOR NC 27522

Officer/Director/Trustee Four

BRENDA CALDWELL
COMMUNICATIONS CHAIR
610 SADDLERIDGE AVE
DURHAM NC 27704

Officer/Director/Trustee Five

ANNIE VAMPLE
ORGANIZATIONAL PLANNING DRIVE
3512 SHADY CREEK DRIVE
DURHAM NC 27713

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-4263928
Case Number EO-2016211-000076
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMY E KELLY EDUCATION FOUNDATION
Organization’s Mailing Address 1815 CHANDELLAY DRIVE
City DURHAM
State NC
ZIP 27705
Accounting period End 12
Primary contact name JACQUELINE STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BAHARI HARRIS
BOARD CHAIR
1109 BERKELEY STREET
DURHAM NC 27705

Officer/Director/Trustee Two

JAMES HILL
VICE CHAIR
1815 CHANDELLAY DRIVE
DURHAM NC 27705

Officer/Director/Trustee Three

JESSICA BROWN-LINTON
TREASURER
1543 RAVEN WOOD DRIVE
CREEDMOOR NC 27522

Officer/Director/Trustee Four

VALITA HOLMES
VICE TREASURER
1210 WEST CLUB BLVD
DURHAM NC 27701

Officer/Director/Trustee Five

LUTHER BROOKS
PUBLIC RELATIONS DIRECTOR
1305 WEST CLUB BLVD
DURHAM NC 27705

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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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