FORM 1023-EZ for THE KEVIN DAVIS FOUNDATION

Field Data
EIN 81-2612207
Case Number EO-2016305-000349
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE KEVIN DAVIS FOUNDATION
Organization’s Mailing Address 800 W 6TH STREET STE 1700
City LOS ANGELES
State CA
ZIP 90017
Accounting period End 12
Primary contact name KEVIN DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN DAVIS
PRESIDENT
5053 VALJEAN AVENUE
ENCINO CA 91436

Officer/Director/Trustee Two

ETHEL DAVIS
VICE PRESIDENT
5053 VALJEAN AVENUE
ENCINO CA 91436

Officer/Director/Trustee Three

JAMIE DE YOUNG
SECRETARY
800 W 6TH STREET STE 1700
LOS ANGELES CA 90017

Officer/Director/Trustee Four

DOUGLAS MORTENSON
TREASURER
800 W 6TH STREET STE 1700
LOS ANGELES CA 90017

Officer/Director/Trustee Five

LINDA GREEN-DAVIS
BOARD MEMBER
1000 ATLANTIC AVENUE
CAMDEN NJ 08104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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
Signature Title
Signature Date

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