FORM 1023-EZ for BUCK OUT FOUNDATION

Field Data
EIN 83-3007398
Case Number EO-2019063-000329
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUCK OUT FOUNDATION
Organization’s Mailing Address 2012 CLIFFVIEW ROAD STE 16
City CLEVELAND
State OH
ZIP 44121
Accounting period End 12
Primary contact name LACHANEE DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LACHANEE DAVIS
EXECUTIVE DIRECTOR
2012 CLIFFVIEW ROAD STE 16
CLEVELAND OH 44121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 LACHANEE DAVIS
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/28/19

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