FORM 1023-EZ for ZACK WARFIELD MEMORIAL FOUNDATION INC

Field Data
EIN 46-4430076
Case Number EO-2017237-000103
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ZACK WARFIELD MEMORIAL FOUNDATION INC
Organization’s Mailing Address 11315 COUNTRY CLUB RD
City NEW MARKET
State MD
ZIP 21774
Accounting period End 12
Primary contact name DOUGLAS WARFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HANNAH WARFIELD
PRESIDENT
53 ELLER COVE RD
WEAVERVILLE NC 28787

Officer/Director/Trustee Two

ROBERT NEWBURY
CFO
1201 ASHLAND AVE
COLUMBUS OH 43212

Officer/Director/Trustee Three

DOUGLAS WARFIELD
VP AND TREASURER
11315 COUNTRY CLUB RD
NEW MARKET MD 21774

Officer/Director/Trustee Four

DAVID PETERS
SECRETARY
9420 SPRINGDALE DRIVE
RALEIGH NC 27613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-4430076
Case Number EO-2015112-000108
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ZACK WARFIELD MEMORIAL FOUNDATION INC
Organization’s Mailing Address 240 S SEPULVEDA BLVD 201-B
City MANHATTAN BEACH
State CA
ZIP 90266
Accounting period End 12
Primary contact name JUSTIN WARFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUSTIN WARFIELD
PRESIDENT
240 S SEPULVEDA BLVD 201-B
MANHATTAN BEACH CA 90266

Officer/Director/Trustee Two

TIMM FAIR
SECRETARY
26 HANCOCK T 4
BOSTON MA 02114

Officer/Director/Trustee Three

ROBERT NEWBURY
CHIEF FINANCIAL OFFICER
1201 ASHLAND AVE
COLUMBUS OH 43212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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
Signature Title
Signature Date

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