FORM 1023-EZ for RAY F GOTTSCHALK FAMILY CHARITABLEFOUNDATION INC

Field Data
EIN 84-2804183
Case Number EO-2019280-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RAY F GOTTSCHALK FAMILY CHARITABLEFOUNDATION INC
Organization’s Mailing Address 62 VILLAGE WALK
City PONTE VEDRA BEACH
State FL
ZIP 32082
Accounting period End 12
Primary contact name DAVID GOTTSCHALK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAY GOTTSCHALK
PRESIDENT
62 VILLAGE WALK
PONTE VEDRA BEACH FL 32082

Officer/Director/Trustee Two

DAVID GOTTSCHALK
VICE PRESIDENT
205 GREEN HERON WAY
PONTE VEDRA BEACH FL 32082

Officer/Director/Trustee Three

WENDY LEGENER
SECRETARY
143 PEIDMONT LANE
WOODSTOCK GA 30189

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 RAY GOTTSCHALK
Signature Title PRESIDENT
Signature Date 10/3/19
EIN 84-2804183
Case Number EO-2019280-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RAY F GOTTSCHALK FAMILY CHARITABLE FOUNDATION INC
Organization’s Mailing Address 62 VILLAGE WALK
City PONTE VEDRA BEACH
State FL
ZIP 32082
Accounting period End 12
Primary contact name DAVID GOTTSCHALK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAY GOTTSCHALK
PRESIDENT
62 VILLAGE WALK
PONTE VEDRA BEACH FL 32082

Officer/Director/Trustee Two

DAVID GOTTSCHALK
VICE PRESIDENT
205 GREEN HERON WAY
PONTE VEDRA BEACH FL 32082

Officer/Director/Trustee Three

WENDY LEGENER
SECRETARY
143 PEIDMONT LANE
WOODSTOCK GA 30189

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 RAY GOTTSCHALK
Signature Title PRESIDENT
Signature Date 10/3/19

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