| Field | Data |
|---|---|
| EIN | 46-5674160 |
| Case Number | EO-2015131-000477 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | KIETH WALLACE MEMORIAL FUND |
| Organization’s Mailing Address | 1440 E DEVON AVE |
| City | ELK GROVE VILLAGE |
| State | IL |
| ZIP | 60007 |
| Accounting period End | 8 |
| Primary contact name | JENNIFER BUNGER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
JENNIFER BUNGER
TREASURER
272 KINGS MILL CT UNIT D1
SCHAUMBURG IL 60193
GARRY KIEKENS
PRESIDENT
1926 PRAIRIE SQUARE UNIT 314
SCHAUMBURG IL 60173
CANDACE KIEKENS
SECRETARY
5829 ST CHARLES PLACE
MT JULIET TN 37122
| Organization’s website | WWW.GOLF4KIETH.COM |
|---|---|
| Organization’s email | JENB@TWECHICAGO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/15/2014 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G30 - Cancer |
| 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 | 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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