FORM 1023-EZ for DON PABLO ACADEMY FOUNDATION INC

Field Data
EIN 83-3387667
Case Number EO-2019038-000845
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DON PABLO ACADEMY FOUNDATION INC
Organization’s Mailing Address 40 S PERRY STREET
City DAYTON
State OH
ZIP 45402
Accounting period End 12
Primary contact name DR CARL MOYLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR CARL MOYLER
PRESIDENT
1415 OLT ROAD
DAYTON OH 45417

Officer/Director/Trustee Two

ELOISE HENDERSON
VICE PRESIDENT
1160 MAIN STREET
TROTWOOD OH 45426

Officer/Director/Trustee Three

YOLANDA COOK
SECRETARY
5113 BALLARD DRIVE
DAYTON OH 45417

Officer/Director/Trustee Four

SYLVIA MOYLER
TREASURER
1415 OLT RD
DAYTON OH 45417

Organization’s website WWW.DONPABLOLANGUAGES.NET
Organization’s email DONPABLOACADEMY@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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 DR CARL MOYLER
Signature Title PRESIDENT
Signature Date 2/3/19

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