FORM 1023-EZ for LARRY A MARTIN FOUNDATION

Field Data
EIN 45-2639001
Case Number EO-2015296-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LARRY A MARTIN FOUNDATION
Organization’s Mailing Address 11487 JOHNSTOWN ROAD
City NEW ALBANY
State OH
ZIP 43054-9719
Accounting period End 12
Primary contact name AMANDA MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRADFORD MARTIN
PRESIDENT
11487 JOHNSTOWN ROAD
NEW ALBANY OH 43054-9719

Officer/Director/Trustee Two

MEGAN MCLAIN
VICE PRESIDENT
13274 FANCHER ROAD
WESTERVILLE OH 43082-9509

Officer/Director/Trustee Three

CHAD MARTIN
TREASURER
220 COLONY COURT
GAHANNA OH 43230-2166

Officer/Director/Trustee Four

AMANDA MARTIN
SECRETARY
11487 JOHNSTOWN ROAD
NEW ALBANY OH 43054-9719

Organization’s website WWW.LARRYAMARTINFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2011
Organization Incorporation State OH
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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