FORM 1023-EZ for DXT THERAPEUTIC FOUNDATION INC

Field Data
EIN 84-2818557
Case Number EO-2019303-000343
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DXT THERAPEUTIC FOUNDATION INC
Organization’s Mailing Address 7610 PENNSYLVANIA AVENUE STE 301
City FORESTVILLE
State MD
ZIP 20747
Accounting period End 12
Primary contact name TRACY BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE HARE-DIGGS
FOUNDER/PRESIDENT
7610 PENNSYLVANIA AVENUE STE 301
FORESTVILLE MD 20747

Officer/Director/Trustee Two

HEJATU BAH
VICE-PRESIDENT
3621 TYROL DRIVE
SPRINGDALE MD 20747

Officer/Director/Trustee Three

MONIQUE REESE
SECRETARY
13908 FAREHAM LANE
UPPER MARLBORO MD 20772

Officer/Director/Trustee Four

LARHONDA SCHINE
TREASURER
1182 GUNBOTTOM ROAD
CROWNSVILLE MD 21032

Organization’s website N/A
Organization’s email MHARE@DXTSERVICES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 MICHELLE HARE-DIGGS
Signature Title FOUNDER/PRESIDENT
Signature Date 10/28/19

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