FORM 1023-EZ for DON DAVIS LEGACY FOUNDATION

Field Data
EIN 81-3516593
Case Number EO-2018257-000437
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DON DAVIS LEGACY FOUNDATION
Organization’s Mailing Address 4301 ORCHARD LK RD STE180 DEPT 226
City WEST BLOOMFIELD
State MI
ZIP 48323
Accounting period End 12
Primary contact name KIKO DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIKO DAVIS
DIRECTOR/PRESIDENT
4301 ORCHARD LK RD
WEST BLOOMFIELD MI 48323

Officer/Director/Trustee Two

DENISE BROOKS-WILLIAMS
DIRECTOR/SECRETARY
4301 ORCHARD LK RD
WEST BLOOMFIELD MI 48323

Officer/Director/Trustee Three

PATRICK GREGORY
DIRECTOR/TREASURER
4301 ORCHARD LK RD
WEST BLOOMFIELD MI 48323

Officer/Director/Trustee Four

KERRY CROWLEY
DIRECTOR
4301 ORCHARD LK RD
WEST BLOOMFIELD MI 48323

Officer/Director/Trustee Five

WILLIAM PHILLIPS
DIRECTOR
4301 ORCHARD LK RD
WEST BLOOMFIELD MI 48323

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/16
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIKO DAVIS
Signature Title DIRECTOR/PRESIDENT
Signature Date 9/12/18

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