FORM 1023-EZ for DKS FAITH OUTREACH FOUNDATION INC

Field Data
EIN 82-3410435
Case Number EO-2017324-000163
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DKS FAITH OUTREACH FOUNDATION INC
Organization’s Mailing Address 8965 WINROCK DR N
City JACKSONVILLE
State FL
ZIP 32216
Accounting period End 12
Primary contact name SPARKLES SUMMERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SPARKLES SUMMERS
PRESIDENT
8965 WINROCK DR N
JACKSONVILLE FL 33216

Officer/Director/Trustee Two

KALVIN A STAFFORD II
VICE PRESIDENT AND TREASERER
8965 WINROCK DR N
JACKSONVILLE FL 33216

Officer/Director/Trustee Three

FELECIA O KAISER
SECRETARY
827 POYDRAS LANE N
JACKSONVILLE FL 32216

Officer/Director/Trustee Four

BESSIE FLETCHER
ADVISOR
539 POWER PLANT CIR 339
WINSTON SALEM NC 27101

Officer/Director/Trustee Five

KALVIN STAFFORD SR
ADVISOR
125 PRINCESS AVE SW
CONCORD NC 28025

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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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