FORM 1023-EZ for DAVID SC KIM FOUNDATION INC

Field Data
EIN 81-1771485
Case Number EO-2016298-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DAVID SC KIM FOUNDATION INC
Organization’s Mailing Address 620 ULSTER LANDING ROAD
City SAUGERTIES
State NY
ZIP 12477-4512
Accounting period End 12
Primary contact name ROBERT BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA BROOKS
PRESIDENT, DIRECTOR
620 ULSTER LANDKING ROAD
SAUGERTIES NY 12477-4512

Officer/Director/Trustee Two

SAM GHEBERIAL
SECRETARY, DIRECTOR
745 WOLCOTT AVE
BEACON NY 12508

Officer/Director/Trustee Three

ROBERT BROOKS
DIRECTOR
620 ULSTER LANDING ROAD
SAUGERTIES NY 12477-4572

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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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