FORM 1023-EZ for EJ UNDERWOOD & JANICE C RAY FOUNDATION

Field Data
EIN 85-0692119
Case Number EO-2020121-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EJ UNDERWOOD & JANICE C RAY FOUNDATION
Organization’s Mailing Address 6832 WELLAND STREET
City DUBLIN
State OH
ZIP 43017
Accounting period End 12
Primary contact name MELANIE MILLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELANIE MILLS
PRESIDENT
6832 WELLAND ST
DUBLIN OH 43017

Officer/Director/Trustee Two

ELMER JERRELL UNDERWOOD
SECRETARY, VICE-PRESIDENT
6832 WELLAND STREET
DUBLIN OH 43017

Officer/Director/Trustee Three

NATASSIA CHAPMAN
TREASURER
2943 HIGHPOINT DRIVE
COLUMBUS OH 43221

Officer/Director/Trustee Four

JOHN CHAPMAN
DIRECTOR
2943 HIGHPOINT DRIVE
COLUMBUS OH 43221

Officer/Director/Trustee Five

MICHAEL DEMARIA
DIRECTOR
5800 REDMOND STREET
HILLIARD OH 43221

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 Yes
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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELANIE MILLS
Signature Title PRESIDENT
Signature Date 4/28/2020

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