FORM 1023-EZ for MELLOWHOOD FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 47-1796358 |
| Case Number | EO-2014258-000332 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MELLOWHOOD FOUNDATION INC |
| Organization’s Mailing Address | 5809 BALSAM ROAD NUMBER 3 |
| City | MADISON |
| State | WI |
| ZIP | 53711 |
| Accounting period End | 12 |
| Primary contact name | MELISSA AUCHARD SCHOLZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
TUTANKHAMUN ASSAD
PRESIDENT DIRECTOR
5809 BALSAM ROAD NUMBER 3
MADISON WI 53711
Officer/Director/Trustee Two
RICHARD ROMAN
TREASURER DIRECTOR
5612 GROVELAND TERRACE
MAD WI 53716
Officer/Director/Trustee Three
BARBARA HUMMEL
SECRETARY DIRECTOR
4026 CHEROKEE DRIVE
MADISON WI 53711
Officer/Director/Trustee Four
PHIL HASLET
DIRECTOR
6325 SHOREHAM DRIVE
MADISON WI 53711
Officer/Director/Trustee Five
PERCY BROWN JR
DIRECTOR
31 HAWKS LANDING CIRCLE 212
VERO WI 53593
| Organization’s website | |
|---|---|
| Organization’s email | COACHASSA.TA@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/10/2014 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O50 - Youth Development Programs, Other |
| 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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