FORM 1023-EZ for THE ADAM CAESAR FOUNDATION

Field Data
EIN 85-2490929
Case Number EO-2021140-000485
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ADAM CAESAR FOUNDATION
Organization’s Mailing Address 9810 BLUE SAPPHIRE
City ROSHARON
State TX
ZIP 77583
Accounting period End 12
Primary contact name DESMONIQUE IVORY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DESMONIQUE IVORY
PRESIDENT
9810 BLUE SAPPHIRE
ROSHARON TX 77583

Officer/Director/Trustee Two

DARRELLYNN CAESAR
VICE PRESIDENT
5618 GEORGETOWN COLONY DR
HOUSTON TX 77084

Officer/Director/Trustee Three

KAREN MOORE
SECRETARY
10313 HANSON BLVD NW 306
COON RAPIDS MN 55433

Organization’s website WWW.THEADAMCAESARFOUNDATION.ORG
Organization’s email MONIQUE@THEADAMCAESARFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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 DESMONIQUE IVORY
Signature Title PRESIDENT
Signature Date 5/13/2021

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