FORM 1023-EZ for DBCA CHEER FOUNDATION INC

Field Data
EIN 81-3248722
Case Number EO-2016201-000455
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DBCA CHEER FOUNDATION INC
Organization’s Mailing Address 3100 S RIDGEWOOD AVE UNIT 180
City SOUTH DAYTONA
State FL
ZIP 32128
Accounting period End 12
Primary contact name BRIAN S FURBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN FURBER
PRESIDENT
6139 SANCTUARY GARDEN BLVD
PORT ORANGE FL 32128

Officer/Director/Trustee Two

JENNIFER BRADSHAW
DIRECTOR
1412 FLORIDA MOSS LANE
PORT ORANGE FL 32127

Officer/Director/Trustee Three

JULIE EARHARDT
DIRECTOR
303 SAGEWOOD DRIVE
PORT ORANGE FL 32128

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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