FORM 1023-EZ for THE CHARLES BAXLEY FOUNDATION INC

Field Data
EIN 84-5009530
Case Number EO-2020069-000417
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CHARLES BAXLEY FOUNDATION INC
Organization’s Mailing Address 4631 LA JOLLA
City PENSACOLA
State FL
ZIP 32504
Accounting period End 12
Primary contact name CHARLES KORY BAXLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES BAXLEY
PRESIDENT
4631 LA JOLLA
PENSACOLA FL 32504

Officer/Director/Trustee Two

CHAD BAXLEY
VICE PRESIDENT
3482 KILDARE DRIVE
HOOVER AL 35226

Officer/Director/Trustee Three

JACE BAXLEY
VICE PRESIDENT
7758 ERUDITION AVENUE
MILTON FL 32583

Officer/Director/Trustee Four

KELLI BAXLEY
VICE PRESIDENT
5351 STAFFORD CIRCLE
PACE FL 32571

Officer/Director/Trustee Five

CRAIG BROWN
TREASURER
6400 BENELLI DRIVE
MILTON FL 32570

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G13 -
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 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 CHARLES BAXLEY
Signature Title PRESIDENT
Signature Date 3/5/2020

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