FORM 1023-EZ for DAVID P SMALL FOUNDATION

Field Data
EIN 81-3351423
Case Number EO-2016210-000600
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DAVID P SMALL FOUNDATION
Organization’s Mailing Address 1209 FARRISH DR
City FREDERICKSBURG
State VA
ZIP 22401
Accounting period End 12
Primary contact name MATTHEW STOVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN SMALL
DIRECTOR
6000 REAGAN DR
FREDERICKSBURG VA 22407

Officer/Director/Trustee Two

LAUREN STOVER
DIRECTOR
1209 FARRISH DR
FREDERICKSBURG VA 22401

Officer/Director/Trustee Three

CARA READ
DIRECTOR
1930 BEDWYN LN
MIDLOTHIAN VA 23112

Officer/Director/Trustee Four

MATTHEW STOVER
DIRECTOR
1209 FARRISH DR
FREDERICKSBURG VA 22401

Officer/Director/Trustee Five

NICHOLAS READ
DIRECTOR
1930 BEDWYN LN
MIDLOTHIAN VA 23112

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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