FORM 1023-EZ for LIMITLESS KLH FOUNDATION INC

Field Data
EIN 85-0643596
Case Number EO-2020104-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIMITLESS KLH FOUNDATION INC
Organization’s Mailing Address 8803 WAVERLY DRIVE
City TUSCALOOSA
State AL
ZIP 35405
Accounting period End 12
Primary contact name BLAKE A MADISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH HOLCOMBE
PRESIDENT TREASURER DIRECTOR
8803 WAVERLY DRIVE
TUSCALOOSA AL 35405

Officer/Director/Trustee Two

MAX HOLCOMBE
VICE PRESIDENT & DIRECTOR
619 76TH STREET
TUSCALOOSA AL 35405

Officer/Director/Trustee Three

KENDRA HOLCOMBE
SECRETARY & DIRECTOR
8803 WAVERLY DRIVE
TUSCALOOSA AL 35405

Officer/Director/Trustee Four

RAMONA PLYLER
DIRECTOR
1346 SNOW HINTON
TUSCALOOSA AL 35405

Officer/Director/Trustee Five

KEATON ANDERSON
DIRECTOR
110 INDIAN SPRINGS DRIVE
FLORENCE AL 35634

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
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 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 KEITH HOLCOMBE
Signature Title PRESIDENT TREASURER DIRECTOR
Signature Date 4/10/2020

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