FORM 1023-EZ for GRAPHENE INNOVATION FOUNDATION

Field Data
EIN 82-4366069
Case Number EO-2018045-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRAPHENE INNOVATION FOUNDATION
Organization’s Mailing Address ONE OAK PLACE
City OXFORD
State MS
ZIP 38655-2519
Accounting period End 6
Primary contact name STEPHAN MCDAVID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHAN MCDAVID
PRESIDENT/SECRETARY
1109 VAN BUREN AVE
OXFORD MS 38655-3911

Officer/Director/Trustee Two

EDWIN MEEK
CHAIRMAN OF THE BOARD
ONE OAK PLACE
OXFORD MS 38655-2519

Officer/Director/Trustee Three

DON WILKERSON
TREASURER
1998 WEST WELLSGATE DRIVE
OXFORD MS 38655

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/18
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U33 - Chemistry, Chemical Engineering
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEPHAN MCDAVID
Signature Title PRESIDENT/SECRETARY
Signature Date 2/12/18

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