FORM 1023-EZ for THE ADAM BLAKEY HOLIDAY FOUNDATION COPORATION
| Field | Data |
|---|---|
| EIN | 47-4657104 |
| Case Number | EO-2016312-000438 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE ADAM BLAKEY HOLIDAY FOUNDATION COPORATION |
| Organization’s Mailing Address | 2109 MORGAN CREEK DRIVE |
| City | FORT WAYNE |
| State | IN |
| ZIP | 46808 |
| Accounting period End | 12 |
| Primary contact name | ADAM BLAKEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ADAM BLAKEY
PRESIDENT
2109 MORGAN CREEK DRIVE
FORT WAYNE IN 46808
Officer/Director/Trustee Two
RASHEETHA WEST
RECORDING SECRETARY
2309 VERSAILLES VILLAGE PLACE
FORT WAYNE IN 46808
Officer/Director/Trustee Three
JASON MAZE
VICE PRESIDENT
1301 STAG DRIVE
FORT WAYNE IN 46804
Officer/Director/Trustee Four
DANIELLE BALDWIN
MARKETING OFFICER
2728 NORTH ANTHONY BLVD
FORT WAYNE IN 46805
Officer/Director/Trustee Five
KATIE MINGUS
TREASURER
2720 VANCE AVENUE
FORT WAYNE IN 46805
| Organization’s website | |
|---|---|
| Organization’s email | THEABHFOUNDATION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/1/2015 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T30 - Public 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 | 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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