FORM 1023-EZ for THE KELLEHER FAMILY FOUNDATION INC

Field Data
EIN 47-3762922
Case Number EO-2015113-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE KELLEHER FAMILY FOUNDATION INC
Organization’s Mailing Address PO BOX 840089
City ST AUGUSTINE
State FL
ZIP 32080
Accounting period End 12
Primary contact name JAMES KELLEHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES KELLEHER
PRESIDENT, DIRECTOR
PO BOX 840089
ST AUGUSTINE FL 32080

Officer/Director/Trustee Two

LAWRENCE KELLEHER
SECRETARY, DIRECTOR
PO BOX 840089
ST AUGUSTINE FL 32080

Officer/Director/Trustee Three

ERIN KELLEHER
TREASURER, DIRECTOR
PO BOX 840089
ST AUGUSTINE FL 32080

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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 No
One Third Support Gifts Yes
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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