FORM 1023-EZ for KATHYS ANGELS FOUNDATION

Field Data
EIN 81-1561269
Case Number EO-2016190-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KATHYS ANGELS FOUNDATION
Organization’s Mailing Address 7917 WATERFALLS AVE
City LAS VEGAS
State NV
ZIP 89128-6712
Accounting period End 12
Primary contact name AARON M HEGJI ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHERINE M BEEHN
PRESIDENT AND DIRECTOR
7917 WATERFALLS AVE
LAS VEGAS NV 89128-6712

Officer/Director/Trustee Two

PAMELA S ROMA
SECRETARY AND DIRECTOR
13311 ROME DR
HUDSON FL 34667-2797

Officer/Director/Trustee Three

MICHAEL J SHEA
TREASURER AND DIRECTOR
10417 DARK SANDS AVE
LAS VEGAS NV 89129-6406

Officer/Director/Trustee Four

DAVID B DRESDEN
DIRECTOR
427 N VAN NESS AVE
LOS ANGELES CA 90004-1560

Officer/Director/Trustee Five

DONNA M SHARPLES
DIRECTOR
3275 N FORT APACHE RD STE 110
LAS VEGAS NV 89129-0207

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2016
Organization Incorporation State NV
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: 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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