FORM 1023-EZ for THREE VILLAGE DADS FOUNDATION

Field Data
EIN 84-2579455
Case Number EO-2020023-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THREE VILLAGE DADS FOUNDATION
Organization’s Mailing Address PO BOX 426
City EAST SETAUKET
State NY
ZIP 11733
Accounting period End 8
Primary contact name DAVID TRACY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID TRACY
PRESIDENT
1 SINGINGWOOD DR
STONY BROOK NY 11790

Officer/Director/Trustee Two

DAVID BITMAN
SECRETARY
14 VARSITY BLVD
SETAUKET NY 11733

Officer/Director/Trustee Three

CHRIS CARSON
TREASURER
15 MILLBURY LN
SOUTH SETAUKET NY 11720

Organization’s website WWW.3VDFOUNDATION.ORG
Organization’s email 3VDFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 DAVID TRACY
Signature Title PRESIDENT
Signature Date 1/21/2020

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