FORM 1023-EZ for MUMZYS CHILDREN RELIEF FOUNDATION

Field Data
EIN 82-3385647
Case Number EO-2018078-000417
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUMZYS CHILDREN RELIEF FOUNDATION
Organization’s Mailing Address 501 N CHESTNUT ST
City LE ROY
State IL
ZIP 61752
Accounting period End 12
Primary contact name ALBERTINE SCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALBERTINE SCRAY
PRESIDENT
501 N CHESTNUT ST
LE ROY IL 61752

Officer/Director/Trustee Two

NINIVE ZANGER
SECRETARY/TREASURER
501 N CHESTNUT ST
LE ROY IL 61752

Officer/Director/Trustee Three

GIDE KOUATCHOU
DIRECTOR
501 N CHESTNUT ST
LE ROY IL 61752

Officer/Director/Trustee Four

TERRY LESIECKI
DIRECTOR
501 N CHESTNUT ST
LE ROY IL 61752

Officer/Director/Trustee Five

DEREK TRNKA
DIRECTOR
501 N CHESTNUT ST
LE ROY IL 61752

Organization’s website HTTP://MUMZYSCHILDRENRELIEFFOUNDATION.ORG/
Organization’s email MUMZYCRF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 Yes
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 ALBERTINE SCRAY
Signature Title PRESIDENT
Signature Date 3/16/18

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