FORM 1023-EZ for LEON AND ANNIE DAVIS FOUNDATION

Field Data
EIN 83-3062271
Case Number EO-2019238-000592
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEON AND ANNIE DAVIS FOUNDATION
Organization’s Mailing Address P O BOX 40
City MADISON
State MO
ZIP 65263
Accounting period End 6
Primary contact name DORIS D BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORIS BROWN
DIRECTOR
PO BOX 916
MOBERLY MO 65270

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DORIS BROWN
Signature Title DIRECTOR
Signature Date 8/23/19

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