FORM 1023-EZ for KHYC FOUNDATION

Field Data
EIN 81-3490443
Case Number EO-2017173-000401
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KHYC FOUNDATION
Organization’s Mailing Address 280 YACHT CLUB WAY
City REDONDO BEACH
State CA
ZIP 90277-2049
Accounting period End 12
Primary contact name KARI A KEIDSER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM POLIZZI
PRESIDENT
280 YACHT CLUB WAY
REDONDO BEACH CA 90277-2049

Officer/Director/Trustee Two

LEE COLLER
TRESURER
280 YACHT CLUB WAY
REDONDO BEACH CA 90277-2049

Officer/Director/Trustee Three

JANINE THOMPSON
SECRETARY
280 YACHT CLUB WAY
REDONDO BEACH CA 90277-2049

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2016
Organization Incorporation State CA
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 Yes
One Third Support Gifts No
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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