FORM 1023-EZ for DAUB-N FOUNDATION

Field Data
EIN 85-2700826
Case Number EO-2020300-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAUB-N FOUNDATION
Organization’s Mailing Address 4938 DERBY PLACE
City NEWARK
State CA
ZIP 94560
Accounting period End 12
Primary contact name LENNIE CHIU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LENNIE CHIU
PRESIDENT / DIRECTOR
4938 DERBY PLACE
NEWARK CA 94560

Officer/Director/Trustee Two

SANDRA GOMEZ
TREASURER
1081 VIA MANZANAS
SAN LORENZO CA 94580

Officer/Director/Trustee Three

DEBORAH HARRIS
SECRETARY / DIRECTOR
233 DABNER ST
SAN LEANDRO CA 94577

Officer/Director/Trustee Four

JOMARIE HOLT
VICE PRESIDENT / DIRECTOR
1931 FIR AVE
SAN LEANDRO CA 94578

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations 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 Yes
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LENNIE CHIU
Signature Title PRESIDENT / DIRECTOR
Signature Date 10/22/2020

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