FORM 1023-EZ for JIM DEMPSEY FOUNDATION INC

Field Data
EIN 27-1295791
Case Number EO-2014363-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JIM DEMPSEY FOUNDATION INC
Organization’s Mailing Address 15501 SAN PABLO AVE G239
City RICHMOND
State CA
ZIP 94806
Accounting period End 12
Primary contact name RACHYLL DEMPSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RACHYLL DEMPSEY
EXECUTIVE DIRECTOR/CHAIR
15501 SAN PABLO AVE G239
RICHMOND CA 94806

Officer/Director/Trustee Two

JUANITA MOLINA
VICE CHAIR
141 NORTH FADED LOVE LANE
BENSON AZ 85602

Officer/Director/Trustee Three

DAVID BENNETT
TREASURER
1763 NORTHSHORE DRIVE
MARINA BAY CA 94804

Officer/Director/Trustee Four

HILLARY MCALLISTER
SECRETARY
1409 EVERGREEN PARK DRIVE 202
OLYMPIA WA 98502

Organization’s website WWW.JIMDEMPSEYFOUNDATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2009
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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