FORM 1023-EZ for KENNETH J RYBICKI FOUNDATION

Field Data
EIN 82-1057472
Case Number EO-2017153-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KENNETH J RYBICKI FOUNDATION
Organization’s Mailing Address 1123 SANFORD AVENUE
City ST. LOUIS
State MO
ZIP 63139-3313
Accounting period End 12
Primary contact name THOMAS J RYBICKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS RYBICKI
PRESIDENT
1123 SANFORD AVE
ST. LOUIS MO 63139-3313

Officer/Director/Trustee Two

SARAH RYBICKI
SECRETARY
1123 SANFORD AVE
ST. LOUIS MO 63139-3313

Officer/Director/Trustee Three

DAVID WAGNER
TREASURER
1123 SANFORD AVE
ST. LOUIS MO 63139-3313

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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