FORM 1023-EZ for R DREW DALTON FOUNDATION

Field Data
EIN 84-4102865
Case Number EO-2020016-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name R DREW DALTON FOUNDATION
Organization’s Mailing Address 6073 BREWER RD
City MASON
State OH
ZIP 45040
Accounting period End 12
Primary contact name MELISSA SAGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA SAGE
BOARD MEMBER
6073 BREWER ROAD
MASON OH 45040

Officer/Director/Trustee Two

DANA CASE
BOARD MEMBER
193 OLD BRIDGE ROAD
DANVILLE KY 40422

Officer/Director/Trustee Three

PAUL CASE
BOARD MEMBER
193 OLD BRIDGE ROAD
DANVILLE KY 40422

Officer/Director/Trustee Four

DEONNA DALTON-BROOKS
BOARD MEMBER
643 COMPETITION ROAD
RALEIGH NC 27603

Officer/Director/Trustee Five

KENNEDY DALTON
BOARD MEMBER
643 COMPETITION ROAD
RALEIGH NC 27603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 MELISSA SAGE
Signature Title BOARD MEMBER
Signature Date 1/14/2020

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