FORM 1023-EZ for DAVE DAVISON FOUNDATION

Field Data
EIN 87-1905954
Case Number EO-2021211-000390
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAVE DAVISON FOUNDATION
Organization’s Mailing Address 575 MARCELLINA DR
City LOVELAND
State CO
ZIP 80537
Accounting period End 12
Primary contact name KARI M WALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN WALL
DIRECTOR
575 MARCELLINA DR
LOVELAND CO 80537

Officer/Director/Trustee Two

TANNER WALL
OFFICER
1715 DENVER AVE
LOVELAND CO 80538

Officer/Director/Trustee Three

KYLEA WALL
OFFICER
575 MARCELLINA DR
LOVELAND CO 80537

Officer/Director/Trustee Four

BRAYDEN WALL
OFFICER
575 MARCELLINA DR
LOVELAND CO 80537

Officer/Director/Trustee Five

KARI WALL
DIRECTOR
575 MARCELLINA DR
LOVELAND CO 80537

Organization’s website
Organization’s email DAVEDAVISONFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: No
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 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 KARI WALL
Signature Title DIRECTOR
Signature Date 7/28/2021

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