FORM 1023-EZ for MAMIE PEARL FOUNDATION INC

Field Data
EIN 86-1353997
Case Number EO-2021088-000549
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAMIE PEARL FOUNDATION INC
Organization’s Mailing Address 812 E OSBORNE AVE
City TAMPA
State FL
ZIP 33603
Accounting period End 12
Primary contact name CHRISTY LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTY LARSON
PRES / TREAS / SEC / DIR
812 E OSBORNE AVE
TAMPA FL 33603

Officer/Director/Trustee Two

SHANNON SHAFFER
VICE PRESIDENT / DIRECTOR
812 E OSBORNE AVE
TAMPA FL 33603

Officer/Director/Trustee Three

LINDA MERCER
DIRECTOR
812 E OSBORNE AVE
TAMPA FL 33603

Organization’s website WWW.MAMIEPEARLFOUNDATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
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 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 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 CHRISTY LARSON
Signature Title PRES / TREAS / SEC / DIR
Signature Date 2/12/2021

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