FORM 1023-EZ for DIVERSIFY ICE FELLOWSHIP AND FOUNDATION

Field Data
EIN 82-4278110
Case Number EO-2018036-000407
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVERSIFY ICE FELLOWSHIP AND FOUNDATION
Organization’s Mailing Address 9400 GRAND BLVD
City LARGO
State MD
ZIP 20774
Accounting period End 10
Primary contact name JOEL SAVARY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOEL SAVARY
EXECUTIVE DIRECTOR/ PRESIDENT
9400 GRAND BOULEVARD
LARGO MD 20774

Officer/Director/Trustee Two

EMMANUEL SAVARY
DIRECTOR/ VICE PRESIDENT
2706 WATERS EDGE DRIVE
NEWARK MD 19702

Officer/Director/Trustee Three

AMARI YARBROUGH
BOARD MEMBER
1101 EUCLID STREET NW APT 13
WASHINGTON MD 20009

Officer/Director/Trustee Four

ALSEAN BRYANT
BOARD MEMBER
6135 HANLON ST
CAPITOL HEIGHTS MD 20743

Officer/Director/Trustee Five

OMARRI LOCHAN
BOARD MEMBER
3300 EAST WEST HWY
HYATTSVILLE MD 20782

Organization’s website WWW.DIVERSIFYICE.ORG
Organization’s email DIVERSIFYICE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/17
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 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 JOEL SAVARY
Signature Title EXECUTIVE DIRECTOR/ PRESIDENT
Signature Date 2/3/18

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