FORM 1023-EZ for THE DARK BAY FOUNDATION

Field Data
EIN 83-2626056
Case Number EO-2018332-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE DARK BAY FOUNDATION
Organization’s Mailing Address 616 PLUM TREE LANE
City ANTIOCH
State IL
ZIP 60002
Accounting period End 12
Primary contact name KATHLEEN M MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN MARTINEZ
EXECUTIVE DIRECTOR
616 PLUM TREE LANE
ANTIOCH IL 60002-1107

Officer/Director/Trustee Two

ELIZABETH RIETESEL-KARLEN
VICE PRESIDENT
11506 ARMORY ROAD
HEBRON IL 60034-9503

Officer/Director/Trustee Three

AMY SCHUTZ
SECRETARY
930 TAYLOR DRIVE APT 103
GURNEE IL 60031-3149

Officer/Director/Trustee Four

JOSE MARTINEZ
TREASURER
616 PLUM TREE LANE
ANTIOCH IL 60002-1107

Officer/Director/Trustee Five

MEAGHAN ZEINER
BOARD MEMBER
10452 RANDALL ROAD
CAPRON IL 61012-9418

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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 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 KATHLEEN MARTINEZ
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/26/18

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