FORM 1023-EZ for THE KEN BRADBURY FOUNDATION

Field Data
EIN 61-1871491
Case Number EO-2018107-000747
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE KEN BRADBURY FOUNDATION
Organization’s Mailing Address 602 E STATE ST
City JACKSONVILLE
State IL
ZIP 62650-2130
Accounting period End 12
Primary contact name JERRY BAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCY PATTERSON
PRESIDENT, DIRECTOR
602 E STATE ST
JACKSONVILLE IL 62650-2130

Officer/Director/Trustee Two

KAI SCHNITKER
SECRETARY, TREASURER, DIRECTOR
110 S CHARLES ST
ARENZVILLE IL 62611

Officer/Director/Trustee Three

MARYJANE MILLION
DIRECTOR
27 ELEANOR AVE
JACKSONVILLE IL 62650

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARCY PATTERSON
Signature Title PRESIDENT, DIRECTOR
Signature Date 3/29/18

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