FORM 1023-EZ for THE PROVISION FOUNDATION

Field Data
EIN 82-3794785
Case Number EO-2018152-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PROVISION FOUNDATION
Organization’s Mailing Address 7501 PARAGON ROAD
City DAYTON
State OH
ZIP 45459-5318
Accounting period End 12
Primary contact name WAYNE ESSEX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLEY PRICE
PRESIDENT
7501 PARAGON ROAD
DAYTON OH 45459-5318

Officer/Director/Trustee Two

GARY PRICE
VICE-PRESIDENT
7501 PARAGON ROAD
DAYTON OH 45459-5318

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LESLEY PRICE
Signature Title PRESIDENT
Signature Date 5/30/18

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