FORM 1023-EZ for ASSURANCE QUALITY FOUNDATION

Field Data
EIN 82-2086262
Case Number EO-2018155-000316
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSURANCE QUALITY FOUNDATION
Organization’s Mailing Address 1629 K STREET SUITE 300 NW
City WASHINGTON
State DC
ZIP 20006
Accounting period End 12
Primary contact name 202-210-5891
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVELYN MAYE
DIRECTOR
1629 K STREET NW 300
WASHINGTON DC 20006

Officer/Director/Trustee Two

VALERIE DAVIS
VICE PRESIDENT
33 N STREET NW
WASHINGTON DC 20005

Officer/Director/Trustee Three

LLWELLLYN MCINTRYE
SECETARY
1719 ARCADIA AVE
CAPITAL HGTS MD 20743

Officer/Director/Trustee Four

CHARLIE STEVENSON
MEMBER
2207 WINTERGREEN AVE
DISTRICT HGTS MD 20785

Officer/Director/Trustee Five

KAREN FLETCHER
MEMBER
5022 ROCK CREEK CHURCH ROAD
WASHINGTON DC 20011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/17
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 EVELYN MAYE
Signature Title DIRECTOR
Signature Date 6/1/18

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