FORM 1023-EZ for THE DOCK ELLIS FOUNDATION INC

Field Data
EIN 81-5294165
Case Number EO-2018345-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE DOCK ELLIS FOUNDATION INC
Organization’s Mailing Address 1901 DESERT FALLS CT UNIT 205
City LAS VEGAS
State NV
ZIP 89128
Accounting period End 3
Primary contact name JASMINE LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASMINE LEE
DIRECTOR
1901 DESERT FALLS CT UNIT 205
LAS VEGAS NV 89128

Officer/Director/Trustee Two

HJORDIS ELLIS
TREASURER
770 W LONE MOUNTAIN RD 2145
NORTH LAS VEGAS NV 89130

Officer/Director/Trustee Three

RONALDO WILLIAMS
SECRETARY
8013 CIMMARON RIDGE RD
LAS VEGAS NV 89128

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/17
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JASMINE LEE
Signature Title DIRECTOR
Signature Date 12/6/18

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