FORM 1023-EZ for THE DAN HILL SR MEMORIAL FUND

Field Data
EIN 47-2652588
Case Number EO-2015128-000485
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE DAN HILL SR MEMORIAL FUND
Organization’s Mailing Address 50 EAST WASHINGTON STREET
City CHAGRIN FALLS
State OH
ZIP 44022
Accounting period End 12
Primary contact name STEPHEN DODD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIEL HILL
DIRECTOR
23 EAST SHORE BOULEVARD
TIMBERLAKE OH 44095

Officer/Director/Trustee Two

ALEXANDER LEE
DIRECTOR
10900 NE 4TH STREET SUITE 1950
BELLEVUE WA 98004

Officer/Director/Trustee Three

HOWARD GUERIN
DIRECTOR
13100 MEADOWWOOD DRIVE
CHARDON OH 44024

Officer/Director/Trustee Four

MARK SOMMERS
DIRECTOR
10990 BRACERIDGE ROAD
ALPHARETTA GA 30022

Officer/Director/Trustee Five

STEPHEN DODD
DIRECTOR
50 EAST WASHINGTON STREET
CHAGRIN FALLS OH 44022

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2012
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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