FORM 1023-EZ for THE SEAMUS MACLEAN DAVEY FOUNDATION

Field Data
EIN 83-3006238
Case Number EO-2019031-000957
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SEAMUS MACLEAN DAVEY FOUNDATION
Organization’s Mailing Address 186 NORTH BURNETT DRIVE
City BAYTOWN
State TX
ZIP 77520
Accounting period End 12
Primary contact name JUDITH ANN DUBOSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK DAVEY
DIRECTOR
8033 CAPRON ROAD
WOODGATE NY 13494

Officer/Director/Trustee Two

JOSEPH CHASE RIVERA
VICE PRESIDENT
186 NORTH BURNETT DRIVE
BAYTOWN TX 77520

Officer/Director/Trustee Three

BLUE WALTHER
PRESIDENT
817 SOUTH VIRGINIA STREEET
RENO NV 89511

Officer/Director/Trustee Four

CAITLIN GREIER
2ND VICE PRESIDENT
143 SOUTH HIGHLAND AVENUE
LOS ANGELES CA 90036

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 JOSEPH CHASE RIVERA
Signature Title VICE PRESIDENT
Signature Date 1/8/19

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