FORM 1023-EZ for FOUSSARD FOUNDATION

Field Data
EIN 85-3813106
Case Number EO-2021081-000859
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUSSARD FOUNDATION
Organization’s Mailing Address 1060 SOUTH PRIOR AVENUE
City ST PAUL
State MN
ZIP 55116-2563
Accounting period End 12
Primary contact name VICTORIA M DUTCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM FOUSSARD
PRESIDENT & SEC & TREAS & DIRECTOR
1060 SOUTH PRIOR AVENUE
ST PAUL MN 55116-2563

Officer/Director/Trustee Two

STEVEN WHITAKER
DIRECTOR
25 PENINSULA ROAD
WHITE BEAR LAKE MN 55110-1504

Officer/Director/Trustee Three

ROBERT HARTZELL
DIRECTOR
4282 COTTAGE PARK ROAD
WHITE BEAR LAKE MN 55110-3853

Officer/Director/Trustee Four

CARTER JOHNSON
DIRECTOR
4753 LAKE AVENUE
WHITE BEAR LAKE MN 55110-3230

Officer/Director/Trustee Five

SARAH MANSON
DIRECTOR
4824 PEGGY LANE
WHITE BEAR LAKE MN 55110-2944

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2020
Organization Incorporation State MN
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: No
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 WILLIAM FOUSSARD
Signature Title PRESIDENT & SEC & TREAS & DIRECTOR
Signature Date 1/26/2021

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