FORM 1023-EZ for THE VIR FORTIS FOUNDATION

Field Data
EIN 84-2891998
Case Number EO-2019252-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE VIR FORTIS FOUNDATION
Organization’s Mailing Address 9037 INDEPENDENCE AVE SUITE A2
City DAPHNE
State AL
ZIP 36526
Accounting period End 12
Primary contact name DR TONYA BUTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONYA BUTLER
DIRECTOR
STREET ADDRESS 2
DAPHNE AL 36526

Officer/Director/Trustee Two

VINCENT RAMSEY
CHAIR OF RESEARCH
25142 JERNIGAN ST
DAPHNE AL 36526

Officer/Director/Trustee Three

JESSICA NELSON
SECRETARY AND TREASURER
40160 COUNTY ROAD 39
BAY MINETTE AL 36507

Officer/Director/Trustee Four

ROBERT ADAMS
BOARD MEMBER
1429 SUGAR CREEK PLACE
MOBILE AL 36695

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/19
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: Yes
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 TONYA BUTLER
Signature Title DIRECTOR
Signature Date 9/5/19

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