FORM 1023-EZ for BESS DAVIS FOUNDATION

Field Data
EIN 82-0859103
Case Number EO-2017115-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BESS DAVIS FOUNDATION
Organization’s Mailing Address PO BOX 170934
City AUSTIN
State TX
ZIP 78717
Accounting period End 12
Primary contact name ZACHARY HAINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER WELKER
VICE CHAIR
9635 CHUKAR CIRCLE
AUSTIN TX 78758

Officer/Director/Trustee Two

RAUL GARCIA
CHAIR
1600 YOAKUM STREET
AUSTIN TX 78748

Officer/Director/Trustee Three

ZACHARY HAINES
SECRETARY
2304 SOUTH LAKELINE UNIT 292
CEDAR PARK TX 78613

Officer/Director/Trustee Four

ELIZABETH HENRY
DEVELOPMENT OFFICER
3711 HALEYS WAY
ROUND ROCK TX 78665

Organization’s website
Organization’s email BESSDAVISFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F50 - Addictive Disorders N.E.C.
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
Signature Title
Signature Date

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