FORM 1023-EZ for THOMAS G KLEIN FOUNDATION

Field Data
EIN 83-3621841
Case Number EO-2019053-000127
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THOMAS G KLEIN FOUNDATION
Organization’s Mailing Address 1134 CAYUGA DR
City GRAND BLANC
State MI
ZIP 48439-4822
Accounting period End 12
Primary contact name THOMAS J KLEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS KLEIN
DIRECTOR
1134 CAYUGA DR
GRAND BLANC MI 48439-4822

Officer/Director/Trustee Two

DENNIS KLEIN
DIRECTOR
11541 CLARK RD
DAVISBURG MI 48350-2604

Officer/Director/Trustee Three

STELL KLEIN
DIRECTOR
11541 CLARK RD
DAVISBURG MI 48350-2604

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 THOMAS KLEIN
Signature Title DIRECTOR
Signature Date 2/20/19

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