FORM 1023-EZ for DSH SOLUTIONS SERVICE FOUNDATION

Field Data
EIN 45-1742118
Case Number EO-2016165-000366
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DSH SOLUTIONS SERVICE FOUNDATION
Organization’s Mailing Address 4083 WEST AVENUE L/ NO 168
City QUARTZ HILL
State CA
ZIP 93536-4202
Accounting period End 12
Primary contact name DEBBIE SCHMIDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBBIE SCHMIDT
PRESIDENT/CEO
4083 WEST AVENUE L/ NO 168
QUARTZ HILL CA 93536-4202

Officer/Director/Trustee Two

CHRISTINA PHILLIPS
TREASURER/CFO
4083 WEST AVENUE L/ NO 168
QUARTZ HILL CA 93536-4202

Officer/Director/Trustee Three

STEPHEN HAWK
SECRETARY
4083 WEST AVENUE L/ NO 168
QUARTZ HILL CA 93536-4202

Officer/Director/Trustee Four

DEREK HAWK
DIRECTOR
4083 WEST AVENUE L/ NO 168
QUARTZ HILL CA 93536-4202

Organization’s website HTTP://WWW.DSHSOLUTIONSFOUNDATION.COM
Organization’s email DSHFOUNDATION@DSHSOLUTIONSFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2010
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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
Signature Title
Signature Date

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