FORM 1023-EZ for MADHUKARA

Field Data
EIN 86-1653095
Case Number EO-2021097-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MADHUKARA
Organization’s Mailing Address 6728 HILL ROAD
City CANAL WINCHESTER
State OH
ZIP 43110
Accounting period End 12
Primary contact name BROOKE CANNOOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BROOKE CANNOOT
PRESIDENT
6728 HILL RD
CANAL WINCHESTER OH 43110-1308

Officer/Director/Trustee Two

MELISSA BOZZUTO
VICE PRESIDENT
1174 ECHO DRIVE
SOUTH BEND IN 46614-2140

Officer/Director/Trustee Three

HEATHER DIMON
SECRETARY
250 N 21ST STREET
COLUMBUS OH 43203-1552

Officer/Director/Trustee Four

ELYSE MURATORE
BOARD OF DIRECTORS
869 WHITNEY AVE
GARDNERVILLE NV 89460-8849

Officer/Director/Trustee Five

THOMAS KINGSBURY
BOARD OF DIRECTORS
941 W BELMONT APT 305
CHICAGO IL 60657-7384

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 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 BROOKE CANNOOT
Signature Title PRESIDENT
Signature Date 3/11/2021
EIN 86-1653095
Case Number EO-2021097-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MADHUKARA
Organization’s Mailing Address 6728 HILL ROAD
City CANAL WINCHESTER
State OH
ZIP 43110
Accounting period End 12
Primary contact name BROOKE CANNOOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BROOKE CANNOOT
PRESIDENT
6728 HILL RD
CANAL WINCHESTER OH 43110-1308

Officer/Director/Trustee Two

MELISSA BOZZUTO
VICE PRESIDENT
1174 ECHO DRIVE
SOUTH BEND IN 46614-2140

Officer/Director/Trustee Three

HEATHER DIMON
SECRETARY
250 N 21ST STREET
COLUMBUS OH 43203-1552

Officer/Director/Trustee Four

ELYSE MURATORE
BOARD OF DIRECTORS
869 WHITNEY AVE
GARDNERVILLE NV 89460-8849

Officer/Director/Trustee Five

THOMAS KINGSBURY
BOARD OF DIRECTORS
941 W BELMONT APT 305
CHICAGO IL 60657-7384

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 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 BROOKE CANNOOT
Signature Title PRESIDENT
Signature Date 3/11/2021

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