FORM 1023-EZ for KEEP IT SIMPLE FOUNDATION

Field Data
EIN 43-3539962
Case Number EO-2014254-000028
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEEP IT SIMPLE FOUNDATION
Organization’s Mailing Address 261 STEVENS STREET
City HYANNIS
State MA
ZIP 02601-3743
Accounting period End 12
Primary contact name PAMELA CLUTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAMELA CLUTE
PRESIDENT
261 STEVENS STREET
HYANNIS MA 02601-3743

Officer/Director/Trustee Two

SHEILA PALLIS
TREASURER
479 HIGGINS CROWELL ROAD
WEST YARMOUTH MA 02673-2506

Officer/Director/Trustee Three

BRENDA NIEMI
CLERK
POST OFFICE BOX 765
DENNISPORT MA 02639-5601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2000
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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