FORM 1023-EZ for DUSTIN CHAMBERLAIN MEMORIAL FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 46-1173912 |
| Case Number | EO-2014346-000328 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | DUSTIN CHAMBERLAIN MEMORIAL FOUNDATION INC |
| Organization’s Mailing Address | PO BOX 7180 |
| City | SILOAM SPRINGS |
| State | AR |
| ZIP | 72761-7180 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL E HOUSTON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
DEONDRA CHAMBERLAIN
PRESIDENT
14124 DAWN HILL RD
SILOAM SPRINGS AR 72761
Officer/Director/Trustee Two
CAROL DUNCAN
TREASURER
1110 E LAKE FRANCIS DRIVE
SILOAM SPRINGS AR 72761
Officer/Director/Trustee Three
KAREN COMISKEY
SECRETARY
107 GREENWOOD
SILOAM SPRINGS AR 72761
Officer/Director/Trustee Four
MICHAEL HOUSTON
DIRECTOR
1916 W JEFFERSON
SILOAM SPRINGS AR 72761
Officer/Director/Trustee Five
DON CHAMBERLAIN
DIRECTOR
14124 DAWN HILL RD
SILOAM SPRINGS AR 72761
| Organization’s website | DUSTINSDREAM.NET |
|---|---|
| Organization’s email | DUSTINSDREAM3@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/21/2012 |
| Organization Incorporation State | AR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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