FORM 1023-EZ for THE ACT 4 ADVENT FOUNDATION

Field Data
EIN 84-4189444
Case Number EO-2020268-000144
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ACT 4 ADVENT FOUNDATION
Organization’s Mailing Address 15313 HACKETT ROAD
City DALTON
State OH
ZIP 44618
Accounting period End 12
Primary contact name MADELINE FULLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE GERBER
PRESIDENT
15315 HACKETT ROAD
DALTON OH 44618

Officer/Director/Trustee Two

TIMOTHY GERBER
SECRETARY
15315 HACKETT ROAD
DALTON OH 44618

Officer/Director/Trustee Three

NICHOLAS GERBER
TRESURER
4730 CAVIOU PLACE
COLORADO SPRINGS CO 80918

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TIMOTHY GERBER
Signature Title SECRETARY
Signature Date 9/22/2020

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