FORM 1023-EZ for THE SHAQ MASON FOUNDATION

Field Data
EIN 84-3396688
Case Number EO-2019326-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SHAQ MASON FOUNDATION
Organization’s Mailing Address 940 HARMONY WAY
City COLUMBIA
State TN
ZIP 38401
Accounting period End 12
Primary contact name ALICIA MCGUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAQUILLE MASON
DIRECTOR AND PRESIDENT
940 HARMONY WAY
COLUMBIA TN 38401

Officer/Director/Trustee Two

DREW PARKER
TREASURER
1211 WOODLAND CROSSING
COLUMBIA TN 38401

Officer/Director/Trustee Three

ALICIA MCGUIRE
DIRECTOR AND VICE PRESIDENT
940 HARMONY WAY
COLUMBIA TN 38401

Officer/Director/Trustee Four

TIFFANY BROWNE
DIRECTOR
1124 SHIRE DRIVE
CANE RIDGE TN 38401

Officer/Director/Trustee Five

GREGORY GOFF
DIRECTOR
115 KENNEDY DRIVE
COLUMBIA TN 38401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 ALICIA MCGUIRE
Signature Title DIRECTOR AND VICE PRESIDENT
Signature Date 11/20/19

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