FORM 1023-EZ for NICHOLAS EVAN DICKERSON MEMORIAL FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-2301215 |
| Case Number | EO-2017261-000221 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | NICHOLAS EVAN DICKERSON MEMORIAL FOUNDATION |
| Organization’s Mailing Address | 5193 EDWARD JAMES DR |
| City | HOWELL |
| State | MI |
| ZIP | 48843-7963 |
| Accounting period End | 12 |
| Primary contact name | MICHELLE QUICK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHELLE QUICK
PRESIDENT
5193 EDWARD JAMES DR
HOWELL MI 48843-7963
Officer/Director/Trustee Two
DAVID DICKERSON
VICE PRESIDENT
137 TWIN CREEKVIEW LANE
GEORGETOWN TX 78626
Officer/Director/Trustee Three
LARISA DICKERSON
TREASURER
137 TWIN CREEKVIEW LANE
GEORGETOWN TX 78626
Officer/Director/Trustee Four
ALEC SLOBIN
SECRETARY
1009 STILL VALLEY DR
HOWELL MI 48843
Officer/Director/Trustee Five
THADDEUS MCGAFFEY
EXECUTIVE DIRECTOR
5115 WINDWOOD CT
PINCKNEY MI 48169
| Organization’s website | NICHOLAS-EVAN-DICKERSON-MEMORIAL-FOUNDATION.ORG |
|---|---|
| Organization’s email | NICHOLASEDICKERSONMEMORIAL@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/27/2017 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W99 - Public, Society Benefit - Multipurpose and Other N.E.C. |
| 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 | Yes |
| 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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