FORM 1023-EZ for DAVID A ORTIZ FOUNDATION

Field Data
EIN 83-3206516
Case Number EO-2019259-000721
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAVID A ORTIZ FOUNDATION
Organization’s Mailing Address 4323 SEMINOLE STREET
City PASADENA
State TX
ZIP 77504-3504
Accounting period End 12
Primary contact name KAREN L TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN TAYLOR
CHAIRPERSON
4323 SEMINOLE ST
PASADENA TX 77504

Officer/Director/Trustee Two

MARTHA BLAIN
VICE CHAIRPERSON
5303 VERDANT WAY
HOUSTON TX 77069-3333

Officer/Director/Trustee Three

APRIL LANCE
SECRETARY
6206 CANADA
PASADENA TX 77505

Officer/Director/Trustee Four

GINA ORTIZ
TREASURER
2407 ST JAMES
PASADENA TX 77502

Organization’s website
Organization’s email KTAYLOR1@DAVIDAORTIZFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/19
Organization Incorporation State TX
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: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KAREN TAYLOR
Signature Title CHAIRPERSON
Signature Date 9/11/19

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