FORM 1023-EZ for MICHAEL DEAN FOUNDATION

Field Data
EIN 83-1444957
Case Number EO-2018298-000100
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHAEL DEAN FOUNDATION
Organization’s Mailing Address 204 WICKLOW DR
City GRANVILLE
State OH
ZIP 43023
Accounting period End 12
Primary contact name KENT HIEBEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA STEARNS
DIRECTOR
171 HIGHGATE RD SW
GRANVILLE OH 43023

Officer/Director/Trustee Two

STEPHANIE ATHAN
DIRECTOR
773 WESTWOOD DR
NEWARK OH 43055

Officer/Director/Trustee Three

ANDREA DAVIS
DIRECTOR
347 CEDAR ST
GRANVILLE OH 43023

Officer/Director/Trustee Four

KENT HIEBEL
OFFICER
400 K ST NW APT 416
WASHINGTON DC 20001

Organization’s website MICHAELDEANFOUNDATION.ORG
Organization’s email MICHAELDEANFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 Yes
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 KENT HIEBEL
Signature Title OFFICER
Signature Date 10/23/18

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