FORM 1023-EZ for KIERSTEN WOODWARD MEMORIAL FUND INC

Field Data
EIN 83-4659291
Case Number EO-2019162-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIERSTEN WOODWARD MEMORIAL FUND INC
Organization’s Mailing Address 8326 HAGGARD CT
City MARTINSVILLE
State IN
ZIP 46151
Accounting period End 12
Primary contact name JILL WOODWARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL WOODWARD
CO-PRESIDENT
8326
MARTINSVILLE IN 46151

Officer/Director/Trustee Two

ARTHUR WOODWARD
CO-PRESIDENT
8326 HAGGARD CT
MARTINSVILLE IN 46151

Officer/Director/Trustee Three

MICHAEL WASSOUF
TREASURER
21 KESSLER BLVD WEST DRIVE
INDIANAPOLIS IN 46208

Officer/Director/Trustee Four

BRENDA ENDERLE
VICE PRESIDENT
7757 N SANCTUARY LANE
MOORESVILLE IN 46158

Officer/Director/Trustee Five

LISA JOHNSON
VICE PRESIDENT
6790 E WOODLAND CT
MOORESVILLE IN 46158

Organization’s website
Organization’s email JEWOODWARD1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - 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 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 LISA JOHNSON
Signature Title VICE PRESIDENT
Signature Date 6/9/19

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