FORM 1023-EZ for THE DUSTIN BLAKE PERFORMING ARTS SCHOLARSHIP FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-5466089 |
| Case Number | EO-2018144-000144 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE DUSTIN BLAKE PERFORMING ARTS SCHOLARSHIP FOUNDATION |
| Organization’s Mailing Address | 515 WILSON ST |
| City | MANCHESTER |
| State | NH |
| ZIP | 3103 |
| Accounting period End | 12 |
| Primary contact name | DOLORES BLAKE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DOLORES BLAKE
PRESIDENT
515 WILSON ST
MANCHESTER NH 3103
Officer/Director/Trustee Two
LAUREN FOHLIN
SECRETARY
35 BEECH HILL AVE
MANCHESTER NH 3103
Officer/Director/Trustee Three
JOHN BLAKE
TREASURER
515 WILSON ST
MANCHESTER NH 3103
Officer/Director/Trustee Four
SARA BARNARD
DIRECTOR
23 BLEVENS DR
CANDIA NH 3034
Officer/Director/Trustee Five
AMANDA WILLIAMS
DIRECTOR
446 BARTLETT ST 2ND FL
MANCHESTER NH 3102
| Organization’s website | NA |
|---|---|
| Organization’s email | DUSTINBLAKEFOUNDATION@COMCAST.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/7/18 |
| Organization Incorporation State | NH |
| 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 | 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 | DOLORES BLAKE |
| Signature Title | PRESIDENT |
| Signature Date | 5/22/18 |
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