FORM 1023-EZ for HEROES SELF DEFENSE FOUNDATION

Field Data
EIN 83-0615492
Case Number EO-2018150-000460
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEROES SELF DEFENSE FOUNDATION
Organization’s Mailing Address 579 COLDWATER DRIVE
City CLAYTON
State DE
ZIP 19938
Accounting period End 3
Primary contact name ANGELA QUACKENBUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN QUACKENBUSH
PRESIDENT
579 COLDWATER DRIVE
CLAYTON DE 19938

Officer/Director/Trustee Two

ANGELA QUACKENBUSH
TREASURER
579 COLDWATER DRIVE
CLAYTON DE 19938

Officer/Director/Trustee Three

RAYMOND GAUVIN
SECRETARY
5001 ANDREWS LANE
MIDDLETOWN DE 19709

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/18
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RYAN QUACKENBUSH
Signature Title PRESIDENT
Signature Date 5/27/18

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