FORM 1023-EZ for ROB PURSLEY FOUNDATION

Field Data
EIN 81-4577456
Case Number EO-2017156-000047
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROB PURSLEY FOUNDATION
Organization’s Mailing Address 1298 MEADOW VISTA DRIVE
City MAINEVILLE
State OH
ZIP 45039
Accounting period End 12
Primary contact name WILLIAM D SHERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN PURSLEY
PRESIDENT
1298 MEADOW VISTA DRIVE
MAINEVILLE OH 45039

Officer/Director/Trustee Two

JACK PURSLEY
TREASURER
117 VISTA RIDGE
SOUTH LEBANON OH 45065

Officer/Director/Trustee Three

PETE SHERMAN
SECRETARY
2889 STATION HOUSE WAY
WAYNESVILLE OH 45068

Officer/Director/Trustee Four

DANA PURSLEY
TRUSTEE
9107 FIELDS DRIVE
MASON OH 45040

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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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