FORM 1023-EZ for THE DTG BREAST CANCER SUPPORT FOUNDATION INC

Field Data
EIN 85-0608936
Case Number EO-2020115-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE DTG BREAST CANCER SUPPORT FOUNDATION INC
Organization’s Mailing Address 2124 SW MONTERREY LANE
City PORT ST LUCIE
State FL
ZIP 34953
Accounting period End 12
Primary contact name DELACY GRIMSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DELACY GRIMSLEY
CEO
2124 SW MONTERREY LANE
PORT SAINT LUCIE FL 34953

Officer/Director/Trustee Two

TARLESHIA BARR-JERGER
TRUSTEE
2124 SW MONTERREY LANE
PORT SAINT LUCIE FL 34953

Officer/Director/Trustee Three

BONNIE SMITH-THOMPSON
OFFICER
2124 SW MONTERREY LANE
PORT SAINT LUCIE FL 34953

Officer/Director/Trustee Four

SAKURA BROWN
OFFICER
2124 SW MONTERREY LANE
PORT SAINT LUCIE FL 34953

Officer/Director/Trustee Five

ANNIE MOORE
TRUSTEE
2124 SWMONTERREY LANE
PORT SAINT LUCIE FL 34953

Organization’s website
Organization’s email DTGSF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 DELACY GRIMSLEY
Signature Title CEO
Signature Date 4/22/2020

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