FORM 1023-EZ for WADIE B DAVIS SR FOUNDATION

Field Data
EIN 45-4049557
Case Number EO-2015117-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WADIE B DAVIS SR FOUNDATION
Organization’s Mailing Address 680 4TH ST SE
City CLEVELAND
State TN
ZIP 37111
Accounting period End 12
Primary contact name ROBERT SCOTT PETERSON CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RODNEY L DAVIS SR
PRESIDENT / DIRECTOR
680 4TH ST SE
CLEVELAND TN 37311

Officer/Director/Trustee Two

TODD BRADFORD
TREASURER / DIRECTOR
680 4TH ST SE
CLEVELAND TN 37311

Officer/Director/Trustee Three

WADIE B DAVIS JR
VICE PRESIDENT / DIRECTOR
680 4TH ST SE
CLEVELAND TN 37311

Officer/Director/Trustee Four

ALISHIA FEASTER
SECRETARY / DIRECTOR
680 4TH ST SE
CLEVELAND TN 37311

Officer/Director/Trustee Five

TONYA CALDWELL
DIRECTOR
680 4TH ST SE
CLEVELAND TN 37311

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2011
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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