FORM 1023-EZ for REACH FOR THE STARS FOUNDATION

Field Data
EIN 84-3007408
Case Number EO-2019259-000586
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REACH FOR THE STARS FOUNDATION
Organization’s Mailing Address 10825 BRIGANTINE DR
City INDIANAPOLIS
State IN
ZIP 46256
Accounting period End 12
Primary contact name KENNETH CLODFELTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH CLODFELTER
DIRECTOR
10825 BRIGANTINE DR
INDIANAPOLIS IN 46256

Officer/Director/Trustee Two

ERIC KOLEDA
DIRECTOR
901 PEBBLE CREEK DR
LOUISVILLE KY 40241

Officer/Director/Trustee Three

MARK MUSIAL
DIRECTOR
10929 WORTHINGTON LN
LOUISVILLE KY 40241

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H90 - Medical Specialty Research
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 Yes
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 KENNETH CLODFELTER
Signature Title DIRECTOR
Signature Date 9/11/19

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