FORM 1023-EZ for THE DAHLIA FOUNDATION

Field Data
EIN 82-4875540
Case Number EO-2018089-000472
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE DAHLIA FOUNDATION
Organization’s Mailing Address 1173 MADISON AVE N
City BAINBRIDGE ISLAND
State WA
ZIP 98110
Accounting period End 12
Primary contact name FRANCES MALONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCES MALONE
PRESIDENT/FOUNDER
11106 TULIN RD
KINGSTON WA 98346

Officer/Director/Trustee Two

LYNN SMITH
SECRETARY
12195 CHARLES PLACE
BAINBRIDGE WA 98110

Officer/Director/Trustee Three

HEATHER CARLETON
TREASURER
12186 MANITOU BEACH
BAINBRIDGE WA 98110

Officer/Director/Trustee Four

SUSAN MALONE
VICE PRESIDENT
PO BOX 2415
HOMER AK 99603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - 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 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 FRANCES MALONE
Signature Title PRESIDENT/FOUNDER
Signature Date 3/28/18

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