FORM 1023-EZ for DORIAN DE LONG ARTS AND MUSIC SCHOLARSHIP FOUNDATION

Field Data
EIN 82-3121564
Case Number EO-2017293-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DORIAN DE LONG ARTS AND MUSIC SCHOLARSHIP FOUNDATION
Organization’s Mailing Address 12650 W 64TH AVE UNIT E195
City ARVADA
State CO
ZIP 80004
Accounting period End 12
Primary contact name SHAYLYN DE LONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAYLYN DE LONG
CHAIR, VICE-TREASURER
12650 W 64TH AVE UNIT E195
ARVADA CO 80004

Officer/Director/Trustee Two

AMIE BACA OEHLERT
TREASURER
12650 W 64TH AVE UNIT E195
ARVADA CO 80004

Officer/Director/Trustee Three

MATT LEMME
SECRETARY
12650 W 64TH AVE UNIT E195
ARVADA CO 80004

Officer/Director/Trustee Four

JASON SORTER
DIRECTOR
12650 W 64TH AVE UNIT E195
ARVADA CO 80004

Officer/Director/Trustee Five

MATT OEHLERT
DIRECTOR
12650 W 64TH AVE UNIT E 195
ARVADA CO 80004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2017
Organization Incorporation State CO
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: 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
Signature Title
Signature Date

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