FORM 1023-EZ for THE ADAM DIXON PERSEVERANCE FOUNDATION INC

Field Data
EIN 83-3593693
Case Number EO-2019161-000547
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ADAM DIXON PERSEVERANCE FOUNDATION INC
Organization’s Mailing Address 13021 S 48TH ST 1030
City PHOENIX
State AZ
ZIP 85044-7205
Accounting period End 12
Primary contact name ADAM DIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM DIXON
PRESIDENT
13021 S 48TH ST
PHOENIX AZ 85044

Officer/Director/Trustee Two

ROBERT REYNOSO
TREASURER
1050 W 8TH AVE
MESA AZ 85210

Officer/Director/Trustee Three

MARIAH RASING
CHAIRPERSON OF THE GOVERNING BODY.
4913 W BEAUTIFUL LANE
LAVEEN AZ 85339

Officer/Director/Trustee Four

MAURICE TROTTER
TRUSTEE
505 W BASELINE RD
TEMPE AZ 85283

Officer/Director/Trustee Five

DARIUS COX
TRUSTEE
505 W BASELINE RD
TEMPE AZ 85283

Organization’s website
Organization’s email ADAMDIXONFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 ADAM DIXON
Signature Title PRESIDENT
Signature Date 6/7/19

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