FORM 1023-EZ for MAD PARK

Field Data
EIN 86-3268622
Case Number EO-2021116-000577
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAD PARK
Organization’s Mailing Address 32 GORDON ST
City CHARLESTON
State SC
ZIP 29403
Accounting period End 12
Primary contact name STEPHANIE HARVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE HARVEY
PRESIDENT DIRECTOR
32 GORDON ST
CHARLESTON SC 29403

Officer/Director/Trustee Two

KAREN BAILEY
SECRETARY DIRECTOR
32 GORDON ST
CHARLESTON SC 29403

Officer/Director/Trustee Three

OCTAVIA WILLIAMS
TREASURER DIRECTOR
32 GORDON ST
CHARLESTON SC 29403

Officer/Director/Trustee Four

QUINTIN MILLER
VICE PRESIDENT DIRECTOR
32 GORDON ST
CHARLESTON SC 29403

Officer/Director/Trustee Five

TERRI STEED
DIRECTOR
32 GORDON ST
CHARLESTON SC 29403

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2021
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 STEPHANIE HARVEY
Signature Title PRESIDENT DIRECTOR
Signature Date 4/23/2021

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