FORM 1023-EZ for KEATON MCMURRAY MEMORIAL FOUNDATIONINC

Field Data
EIN 47-3869325
Case Number EO-2015247-000075
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEATON MCMURRAY MEMORIAL FOUNDATIONINC
Organization’s Mailing Address 4301 CHARLESTON WAY
City SHELBYVILLE
State KY
ZIP 40065-8357
Accounting period End 12
Primary contact name TRACY HAGAN - TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBI MCMURRAY
PRESIDENT
4301 CHARLESTON WAY
SHELBYVILLE KY 40065-8357

Officer/Director/Trustee Two

RODNEY MCMURRAY
VICE PRESIDENT
4301 CHARLESTON WAY
SHELBYVILLE KY 40065-8357

Officer/Director/Trustee Three

TRACY HAGAN
TREASURER
3009 SUMMERFIELD MANOR DRIVE
SAINT LOUIS MO 63129-5735

Officer/Director/Trustee Four

AMY SALMON
SECRETARY
1 HARLOW POND COURT
FRANKLIN MA 02038-4316

Officer/Director/Trustee Five

DAWN DURBIN
OFFICER
PO BOX 69
CORYDON IN 47112-0069

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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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