FORM 1023-EZ for ERIKA KNODE EPILEPSY AWARENESS MEMORIAL FOUNDATION

Field Data
EIN 47-2915459
Case Number EO-2015029-000174
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ERIKA KNODE EPILEPSY AWARENESS MEMORIAL FOUNDATION
Organization’s Mailing Address 4 INWOOD WAY DR
City SAN ANTONIO
State TX
ZIP 78248
Accounting period End 12
Primary contact name BARBARA ENGLISH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARBARA ENGLISH
DIRECTOR
4 INWOOD WAY DR
SAN ANTONIO TX 78248

Officer/Director/Trustee Two

JACLYN WALLING
DIRECTOR
15015 STRATHMOOR DR
CHARLOTTE NC 28277

Officer/Director/Trustee Three

CHRISTINA KNODE
DIRECTOR
15120 ARBOR TRAIL CT
CHARLOTTE NC 28277

Officer/Director/Trustee Four

WILLIAM ENGLISH
DIRECTOR
4 INWOOD WAY DR
SAN ANTONIO TX 78248

Officer/Director/Trustee Five

KENNETH KNODE
DIRECTOR
13105 BRIARCLIFF TERRACE 1112
GERMANTOWN MD 20874

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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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