FORM 1023-EZ for EXTENDED IMMUNITY FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-2938076 |
| Case Number | EO-2019038-000067 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EXTENDED IMMUNITY FOUNDATION |
| Organization’s Mailing Address | 9107 BELO GATE DRIVE |
| City | MANASSAS PARK |
| State | VA |
| ZIP | 20111-7044 |
| Accounting period End | 12 |
| Primary contact name | JAMI MCDOWELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANDREW MCDOWELL
FOUNDING DIRECTOR
9107 BELO GATE DRIVE
MANASSAS PARK VA 20111
Officer/Director/Trustee Two
OLIVER TONKIN
DIRECTOR
25643 LAUGHTER DRIVE
ALDIE VA 20105
Officer/Director/Trustee Three
DONALD WIDENER
DIRECTOR
2825 21ST ROAD SOUTH
ARLINGTON VA 22204
Officer/Director/Trustee Four
JAMI MCDOWELL
SECRETARY
9107 BELO GATE DRIVE
MANASSAS PARK VA 20111
| Organization’s website | EXTENDEDIMMUNITY.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/25/19 |
| Organization Incorporation State | DE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | U20 - Science, General |
| Organization’s purpose | Charitable: No Religious: No Educational: No Scientific: Yes Literary: No Public Safety: Yes Amateur Sports: No 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 | ANDREW MCDOWELL |
| Signature Title | FOUNDING DIRECTOR |
| Signature Date | 1/29/19 |
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