FORM 1023-EZ for DEBRA KURTZ FOUNDATION

Field Data
EIN 81-5479858
Case Number EO-2018151-000009
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEBRA KURTZ FOUNDATION
Organization’s Mailing Address 16103 BALDWIN CIR
City HOLLY
State MI
ZIP 48442
Accounting period End 12
Primary contact name ADAM KURTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM KURTZ
PRESIDENT
16103 BALDWIN CIR
HOLLY MI 48442

Officer/Director/Trustee Two

TERRIA KURTZ
VICE PRESIDENT
16103 BALDWIN CIR
HOLLY MI 48442

Officer/Director/Trustee Three

AMANDA TIPTON
TREASURER
1187 RIVER VALLEY DR
FLINT MI 48532

Officer/Director/Trustee Four

LETINA WILLIAMS
SECRETARY
2102 CEDAR BEND DR
GR BLANC MI 48439

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/17
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J21 - Vocational Counseling, Guidance and Testing
Organization’s purpose Charitable: Yes
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ADAM KURTZ
Signature Title PRESIDENT
Signature Date 5/26/18

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