FORM 1023-EZ for KEIKO NEUTZ AMAZING GRACE FOUNDATION INC

Field Data
EIN 85-0596436
Case Number EO-2020111-000512
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEIKO NEUTZ AMAZING GRACE FOUNDATION INC
Organization’s Mailing Address 12622 CHESAPEAKE BAY DR
City LOUISVILLE
State KY
ZIP 40245
Accounting period End 12
Primary contact name LACY TURNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LACY TURNER
PRESIDENT
12622 CHESAPEAKE BAY DR
LOUISVILLE KY 40245

Officer/Director/Trustee Two

DEBBIE TAYLOR
BOARD OF DIRECTOR
12506 TOWNEPARK WAY
LOUISVILLE KY 40243

Officer/Director/Trustee Three

JENNA FORBES
BOARD OF DIRECTOR
25 INITIAL LANE
SANTA ROSA BEACH FL 32459

Officer/Director/Trustee Four

LACY TURNER
BOARD OF DIRECTOR
12622 CHESAPEAKE BAY DR
LOUISVILLE KY 40245

Organization’s website WWW.KEIKONEUTZAMAZINGGRACE.ORG
Organization’s email KEIKONEUTZAMAZINGGRACE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2020
Organization Incorporation State KY
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 Yes
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 LACY TURNER
Signature Title BOARD OF DIRECTOR
Signature Date 4/18/2020

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