FORM 1023-EZ for POWELL FAMILY FOUNDATION

Field Data
EIN 85-4303127
Case Number EO-2021064-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POWELL FAMILY FOUNDATION
Organization’s Mailing Address 30161 THE HALL RD
City BRANCHVILLE
State VA
ZIP 24828-4134
Accounting period End 12
Primary contact name ROBERT H POWELL 3RD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT H POWELL 3RD
PRESIDENT TREASURER DIRECTOR
30161 THE HALL RD
BRANCHVILLE VA 23828-2007

Officer/Director/Trustee Two

ELAYNE P POWELL
VICE PRESIDENT SECRETARY
30161 THE HALL ROAD
BRANCHVILLE VA 23828

Officer/Director/Trustee Three

PAIGE P POWELL
DIRECTOR
30161 THE HALL RD
BRANCHVILLE VA 23828

Officer/Director/Trustee Four

R H POWELL 4TH
DIRECTOR
40525 GREYHOUSE PL
LEESBURG VA 20175-4854

Officer/Director/Trustee Five

JESSICA A POWELL
DIRECTOR
40525 GREYHOUSE PL
LEESBURG VA 20175-4854

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT H POWELL 3RD
Signature Title PRESIDENT TREASURER DIRECTOR
Signature Date 1/4/2021

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