FORM 1023-EZ for THE DAVID AND HELEN ADDISON FAMILYFOUNDATION

Field Data
EIN 47-4262971
Case Number EO-2015180-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE DAVID AND HELEN ADDISON FAMILYFOUNDATION
Organization’s Mailing Address 1561 TULLY COURT
City BLOOMFIELD HILLS
State MI
ZIP 48302-2368
Accounting period End 6
Primary contact name DAVID N ADDISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID N ADDISON
PRESIDENT
1561 TULLY COURT
BLOOMFIELD HILLS MI 48302-2368

Officer/Director/Trustee Two

HELEN E ADDISON
SECRETARY
1561 TULLY COURT
BLOOMFIELD HILLS MI 48302-2368

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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