FORM 1023-EZ for KRISTIS KLIMBERS FOUNDATION

Field Data
EIN 85-4094378
Case Number EO-2021027-000061
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KRISTIS KLIMBERS FOUNDATION
Organization’s Mailing Address 21512 N 68TH DR
City GLENDALE
State AZ
ZIP 85308
Accounting period End 12
Primary contact name KRISTI PEASE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTI PEASE
DIRECTOR
21512 N 68TH DR
GLENDALE AZ 85308

Officer/Director/Trustee Two

KAREN TOWNSEND
DIRECTOR
13030 EAST LINVALE PL
AURORA CO 80014

Officer/Director/Trustee Three

KRISTI CONSENTINO
DIRECTOR
21512 N 68TH DR
GLENDALE AZ 85308

Officer/Director/Trustee Four

FRANCINE PEASE
DIRECTOR
4100 OCEAN BEACH BLVD APT 504
COCOA BEACH FL 32931

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 No
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 KRISTI PEASE
Signature Title DIRECTOR
Signature Date 12/3/2020

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