FORM 1023-EZ for BLACKMON FAMILY FOUNDATION

Field Data
EIN 82-4217775
Case Number EO-2018120-000694
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACKMON FAMILY FOUNDATION
Organization’s Mailing Address 2608 ASHLAND HOLLOW LANE
City KATY
State TX
ZIP 77494
Accounting period End 12
Primary contact name AUDRA C BLACKMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUDRA BLACKMON
PRESIDENT
2608 ASHLAND HOLLOW LANE
KATY TX 77494

Officer/Director/Trustee Two

WESLEY BLACKMON
TREASURER
2608 ASHLAND HOLLOW LANE
KATY TX 77494

Officer/Director/Trustee Three

GARRETT BLACKMON
SECRETARY
12433 SCHWANBECK ROAD
CATSPRING TX 78933

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/17
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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 Yes
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 AUDRA BLACKMON
Signature Title PRESIDENT
Signature Date 4/27/18

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