FORM 1023-EZ for KRISTINA CONN FOUNDATION INC

Field Data
EIN 81-4794380
Case Number EO-2017003-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KRISTINA CONN FOUNDATION INC
Organization’s Mailing Address PO BOX 651483
City VERO BEACH
State FL
ZIP 32965
Accounting period End 12
Primary contact name SHANNON CONN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON CONN
PRESIDENT, DIRECTOR
1725 23RD PL SW
VERO BEACH FL 32962

Officer/Director/Trustee Two

SHARON ARNOLD
SECRETARY, DIRECTOR
2345 85TH AVE
VERO BEACH FL 32966

Officer/Director/Trustee Three

MARY LAMORE
TREASURER, DIRECTOR
14042 ISLA FLORES
FORT PIERCE FL 34951

Officer/Director/Trustee Four

DANIEL BOYKIN
DIRECTOR
8408 BAYARD RD
FORT PIERCE FL 34951

Officer/Director/Trustee Five

FRANKLIN WETMORE
DIRECTOR
1928 SIXTY OAKS LN
VERO BEACH FL 32966

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 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
Signature Title
Signature Date

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