FORM 1023-EZ for WILLIAM E DERRY FOUNDATION FOR ARTSIN EDUCATION

Field Data
EIN 47-4094660
Case Number EO-2016194-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLIAM E DERRY FOUNDATION FOR ARTSIN EDUCATION
Organization’s Mailing Address 10502 N BUTTERFLY DR
City DUNLAP
State IL
ZIP 61525
Accounting period End 4
Primary contact name ANTHONY DERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW DERRY
PRESIDENT
10502 N BUTTERFLY DR
DUNLAP IL 61525

Officer/Director/Trustee Two

JACOB DERRY
VICE-PRESIDENT
811 W EASTWOOD AVE APT 608
CHICAGO IL 60640

Officer/Director/Trustee Three

ANTHONY DERRY
SECRETARY/TREASURER
256 HEATHER RD
KING OF PRUSSIA PA 19406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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