FORM 1023-EZ for ADA COTTRELL FOUNDATION

Field Data
EIN 83-3174800
Case Number EO-2019036-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADA COTTRELL FOUNDATION
Organization’s Mailing Address 6345 BRIGHT PLUME
City COLUMBIA
State MD
ZIP 21044
Accounting period End 12
Primary contact name JOYCE COTTRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOYCE COTTRELL
PRESIDENT/FOUNDER
6345 BRIGHT PLUME
COLUMBIA MD 21044

Officer/Director/Trustee Two

BONIPHACE RUTTTA
SECRETARY
6345 BRIGHT PLUME
COLUMBIA MD 21044

Officer/Director/Trustee Three

JESSICA KAMALA-MUSHALA
ADVISOR
9414 PRESLEY PLACE
LANHAM MD 20706-3462

Officer/Director/Trustee Four

STUART COTTRELL
TRASURER
6345 BRIGHT PLUME
COLUMBIA MD 21044

Officer/Director/Trustee Five

THECKLA MWAISUMO
MEMBER AT LARGE
6345 BRIGHT PLUME
COLUMBIA MD 21044

Organization’s website WWW.ADACOTTRELLFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 Yes
Correctness Declaration Yes
Signature Name JOYCE COTTRELL
Signature Title PRESIDENT/FOUNDER
Signature Date 1/16/19

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