FORM 1023-EZ for STARR FAMILY FOUNDATION

Field Data
EIN 83-2816672
Case Number EO-2019060-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STARR FAMILY FOUNDATION
Organization’s Mailing Address 28 PINEWOOD LANE
City HUDSON
State OH
ZIP 44236-3468
Accounting period End 12
Primary contact name JENNIFER R LOAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD STARR
DIRECTOR/PRESIDENT/TREASURER
28 PINEWOOD LANE
HUDSON OH 44236-3468

Officer/Director/Trustee Two

PATRICIA STARR
DIRECTOR/VP/SECRETARY
28 PINEWOOD LANE
HUDSON OH 44236-3468

Officer/Director/Trustee Three

GWENDELYN BLASZAK
DIRECTOR
28 PINEWOOD LANE
HUDSON OH 44236-3468

Officer/Director/Trustee Four

PATRICE REEDER
DIRECTOR
28 PINEWOOD LANE
HUDSON OH 44236-3468

Officer/Director/Trustee Five

DEBORAH SCHAEFER
DIRECTOR
28 PINEWOOD LANE
HUDSON OH 44236-3468

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICHARD STARR
Signature Title DIRECTOR/PRESIDENT/TREASURER
Signature Date 2/27/19

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