FORM 1023-EZ for KEITH MALZ MEMORIAL FUND INC

Field Data
EIN 83-3274578
Case Number EO-2019126-000518
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEITH MALZ MEMORIAL FUND INC
Organization’s Mailing Address 888 NW 165TH COURT RD
City DUNNELLON
State FL
ZIP 34432
Accounting period End 12
Primary contact name KIMBERLY FOLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY FOLEY
DIRECTOR
888 NW 165TH COURT RD
DUNNELLON FL 34432-1217

Officer/Director/Trustee Two

CLINT FOLEY
DIRECTOR
888 NW 165TH COURT RD
DUNNELLON FL 34432-1217

Officer/Director/Trustee Three

NIKOLE VERMILYEA
DIRECTOR
6906 N LIME DRIVE
CITRUS SPRINGS FL 34433-6254

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/19
Organization Incorporation State FL
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: No
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 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 KIMBERLY FOLEY
Signature Title DIRECTOR
Signature Date 5/3/19

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