FORM 1023-EZ for DAYSPRING HOSPICE FOUNDATION INC

Field Data
EIN 83-4582903
Case Number EO-2019123-000286
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAYSPRING HOSPICE FOUNDATION INC
Organization’s Mailing Address 1275 JAMES DRIVE SUITE A
City ENTERPRISE
State AL
ZIP 36330
Accounting period End 12
Primary contact name DONNA HENDRIX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA HENDRIX
DIRECTOR
1275 JAMES DR STE A
ENTERPRISE AL 36330

Officer/Director/Trustee Two

ANDY WEBER
DIRECTOR
1275 JAMES DR STE A
ENTERPRISE AL 36330

Officer/Director/Trustee Three

BILL SEARCY
DIRECTOR
1301 NEAL METCALF ROAD
ENTERPRISE AL 36330

Officer/Director/Trustee Four

CHERYL CAMPBELL
DIRECTOR
804 MORGAN LANE
ENTERPRISE AL 36330

Organization’s website
Organization’s email DONNA.HENDRIX@DAYSPRINGHOSPICE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/18
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 DONNA HENDRIX
Signature Title DIRECTOR
Signature Date 5/1/19

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