FORM 1023-EZ for VANVLEET FAMILY FOUNDATION

Field Data
EIN 83-1604701
Case Number EO-2020302-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VANVLEET FAMILY FOUNDATION
Organization’s Mailing Address 14724 VENTURA BLVD STE 401
City SHERMAN OAKS
State CA
ZIP 91403
Accounting period End 12
Primary contact name DEREK FOLK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRED VAN VLEET
CEO
14724 VENTURA BLVD STE 401
SHERMAN OAKS CA 91403

Officer/Director/Trustee Two

DEREK FOLK
CFO
14724 VENTURA BLVD STE 401
SHERMAN OAKS CA 91403

Officer/Director/Trustee Three

DARNELL VAN VLEET
DIRECTOR
14724 VENTURA BLVD STE 401
SHERMAN OAKS CA 91403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2018
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 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 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 DEREK FOLK
Signature Title CFO
Signature Date 10/26/2020

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