FORM 1023-EZ for ME DAVIS FOUNDATION

Field Data
EIN 33-1098802
Case Number EO-2020022-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ME DAVIS FOUNDATION
Organization’s Mailing Address 206 N KNOX STREET
City DERMOTT
State GA
ZIP 71638
Accounting period End 12
Primary contact name JOHNETTA DILLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHNETTA DILLARD
DIRECTOR
7649 CRESTWICKE CROSSING DR
JONESBORO GA 30236

Officer/Director/Trustee Two

MARVIN JONES
DIRECTOR
206 N KNOX STREET
DERMOTT AR 71638

Officer/Director/Trustee Three

TRACY DAVIS
DIRECTOR
206 N KNOX STREET
DERMOTT AR 71638

Organization’s website
Organization’s email MEDAVISFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2004
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 JOHNETTA DILLARD
Signature Title DIRECTOR
Signature Date 1/17/2020

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