FORM 1023-EZ for JUSTIN J DAVIS HEART FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-2405050 |
| Case Number | EO-2017272-000257 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | JUSTIN J DAVIS HEART FOUNDATION |
| Organization’s Mailing Address | 1050 TEMPLE AVENUE 101 |
| City | COLONIAL HEIGHTS |
| State | VA |
| ZIP | 23834 |
| Accounting period End | 12 |
| Primary contact name | KAREN BROWN-DAVIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KAREN BROWN-DAVIS
PRESIDENT
7701 EDWIN LANE
SOUTH CHESTERFIELD VA 23803
Officer/Director/Trustee Two
JUSTIN DAVIS
VICE PRESIDENT
2025 COPPER LEAF PARKWAY
DURHAM NC 27707
Officer/Director/Trustee Three
KATISHA HARRISON
SECRETARY
21501 WILCOX STREET
SOUTH CHESTERFIELD VA 23803
Officer/Director/Trustee Four
RAMONA MINNS
TREASURER
1 BOTANY BAY CIRCLE
PETERSBURG VA 23803
Officer/Director/Trustee Five
DEBERA JONES
DIRECTOR
15541 KEELERS MILL ROAD
DEWITT VA 23840
| Organization’s website | |
|---|---|
| Organization’s email | JUSTIN.JDAVISHEARTFOUNDATION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/8/2017 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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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