FORM 1023-EZ for DLR FOUNDATION

Field Data
EIN 83-0818280
Case Number EO-2018186-000480
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DLR FOUNDATION
Organization’s Mailing Address 26889 FARMBROOK VILLA DR
City SOUTHFIELD
State MI
ZIP 48034
Accounting period End 12
Primary contact name DORETHY ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORETHY ROBINSON
EXECUTIVE DIRECTOR
26889 FARMBROOK VILLA DR
SOUTHFIELD MI 48034

Officer/Director/Trustee Two

DARYL BROWN
BOARD PRESIDENT
27220 14 MILE
FRANKLIN MI 48025

Officer/Director/Trustee Three

MARIAM SEARCY
BOARD TREASURER
33104 GRANDRIVER
FARMINGTON HILLS MI 48336

Officer/Director/Trustee Four

SYBIL PAULETTE CROSS NELSON
BOARD SECRETARY
18942 PREVOST
DETROIT MI 48235

Officer/Director/Trustee Five

KELLY FREEMAN
BOARD MEMBER
16192 OXLEY ROAD APT 203
SOUTHFIELD MI 48075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
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 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 DORETHY ROBINSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/3/18

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