FORM 1023-EZ for FREDERICKS FAMILY FUND FOUNDATION

Field Data
EIN 82-2693187
Case Number EO-2017265-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FREDERICKS FAMILY FUND FOUNDATION
Organization’s Mailing Address 7701 FRANCES DR
City ALEXANDRIA
State VA
ZIP 22306
Accounting period End 6
Primary contact name DANIEL MCMASTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MCMASTER
INITIAL DIRECTOR
7701 FRANCES DR
ALEXANDRIA VA 22306

Officer/Director/Trustee Two

WELLS WILSON
INITIAL DIRECTOR
7304 CHATHAM ST
SPRINGFIELD VA 22151

Officer/Director/Trustee Three

CHAD LALLIER
INITIAL DIRECTOR
8279 QUARTERFIELD RD
SEVERN MD 21144

Officer/Director/Trustee Four

LARRY LEE
INITIAL DIRECTOR
8 WHITESTONE DR
STAFFORD VA 22556

Officer/Director/Trustee Five

MICHAEL CIAMPO
INITIAL DIRECTOR
11 SPRUCE HILL LANE
GOSHEN NY 10924

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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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