FORM 1023-EZ for MOTORIZED MAYHEM ROBOTICS

Field Data
EIN 83-1138570
Case Number EO-2019044-000453
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOTORIZED MAYHEM ROBOTICS
Organization’s Mailing Address 155 INTRACOASTAL DRIVE
City MADISON
State AL
ZIP 35758
Accounting period End 6
Primary contact name MAX PATIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAX PATIN
CHAIR
155 INTRACOASTAL DRIVE
MADISON AL 35758

Officer/Director/Trustee Two

TODD FREESTONE
TREASURER
113 RATHFORD COURT
MADISON AL 35757

Officer/Director/Trustee Three

PAMELA BOURQUE
SECRETARY
155 INTRACOASTAL DRIVE
MADISON AL 35758

Organization’s website
Organization’s email MOTORIZEDMAYHEM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/18
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 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 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 PAMELA BOURQUE
Signature Title SECRETARY
Signature Date 2/11/19

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