FORM 1023-EZ for MAXS MILES FOUNDATION

Field Data
EIN 47-4684939
Case Number EO-2015254-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAXS MILES FOUNDATION
Organization’s Mailing Address 3609 CONNIE KAY WAY
City BLOOMINGTON
State IL
ZIP 61704-8659
Accounting period End 12
Primary contact name TODD CHAPMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TODD CHAPMAN
PRESIDENT
3609 CONNIE KAY WAY
BLOOMINGTON IL 61704-8659

Officer/Director/Trustee Two

JAIME RIDGWAY
VICE-PRESIDENT; TREASURER
3503 BALDOCCHI DR
BLOOMINGTON IL 61704-8659

Officer/Director/Trustee Three

CORIN CHAPMAN
SECRETARY
3609 CONNIE KAY WAY
BLOOMINGTON IL 61704-8659

Organization’s website
Organization’s email MAXSMILESFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2015
Organization Incorporation State IL
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: 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
Signature Title
Signature Date

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