FORM 1023-EZ for VAN PURSER FOUNDATION INC

Field Data
EIN 83-3293615
Case Number EO-2019042-000420
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VAN PURSER FOUNDATION INC
Organization’s Mailing Address 10860 CARRISSA TRL
City ALPHARETTA
State GA
ZIP 30022
Accounting period End 12
Primary contact name DANIEL ROBERT STONAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL STONAKER
VICE PRESIDENT
10860 CARISSA TRL
ALPHARETTA GA 30022

Officer/Director/Trustee Two

NELLO TEER
PRESIDENT
732 CREEKSIDE BEND
ALPHARETTA GA 30004

Officer/Director/Trustee Three

TIMOTHY REESE
SECRETARY
400 LYERLY POINTE
ALPHARETTA GA 30022

Officer/Director/Trustee Four

HENRIK BALLE
TREASURER
130 WOOD PINE CT
MILTON GA 30004

Officer/Director/Trustee Five

VAN PURSER
DIRECTOR
470 SPRING RIDGE DR
ROSWELL GA 30076

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 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 DANIEL STONAKER
Signature Title VICE PRESIDENT
Signature Date 2/8/19

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