FORM 1023-EZ for DOUGLAS ELEMENTARY SCHOOL FOUNDATION

Field Data
EIN 82-4217219
Case Number EO-2018095-000345
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOUGLAS ELEMENTARY SCHOOL FOUNDATION
Organization’s Mailing Address 600 ORTEGA ROAD
City RALEIGH
State NC
ZIP 27609-5957
Accounting period End 12
Primary contact name DAVID HEINEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON CUNNINGHAM
CHAIR
4400 LAMBETH DRIVE
RALEIGH NC 27609-5862

Officer/Director/Trustee Two

DAVID HEINEN
VICE CHAIR
408 NORTHCLIFT DRIVE
RALEIGH NC 27609-3725

Officer/Director/Trustee Three

MUFFY GRANT
SECRETARY
4201 REDINGTON DRIVE
RALEIGH NC 27609-5960

Officer/Director/Trustee Four

JULIE CASH
TREASURER
313 GLEN VALLEY DRIVE
RALEIGH NC 27609-5234

Officer/Director/Trustee Five

JEANNINE MOORE
DIRECTOR
517 ORTEGA ROAD
RALEIGH NC 27609-5954

Organization’s website HTTPS://DOUGLASFOUNDATION.WEEBLY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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 DAVID HEINEN
Signature Title VICE CHAIR
Signature Date 3/21/18

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