FORM 1023-EZ for GVV FOUNDATION

Field Data
EIN 86-2403034
Case Number EO-2021097-001179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GVV FOUNDATION
Organization’s Mailing Address 719 J STREET
City CENTRALIA
State WA
ZIP 98531
Accounting period End 12
Primary contact name COREY SHOBLOM-DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COREY SHOBLOM-DAVIS
PRESIDENT/DIRECTOR
719 J STREET
CENTRALIA WA 98531

Officer/Director/Trustee Two

MASON WESTON
TREASURER/DIRECTOR
555 W 8TH STREET
VANCOUVER WA 98660

Officer/Director/Trustee Three

NICI TRUONG
SECRETARY/DIRECTOR
5500 NE FOURTH PLAIN BLVD UNIT 10
VANCOUVER WA 98661

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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 Yes
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 COREY SHOBLOM-DAVIS
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/17/2021

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