FORM 1023-EZ for MACKENZIE FOUNDATION

Field Data
EIN 82-3753054
Case Number EO-2018150-000036
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MACKENZIE FOUNDATION
Organization’s Mailing Address 2205 LATHEN WAY
City EUGENE
State OR
ZIP 97408
Accounting period End 12
Primary contact name DAVID E ATKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL CHRISTIANSON
PRESIDENT
2205 LATHEN WAY
EUGENE OR 97408

Officer/Director/Trustee Two

DANIEL CHRISTIANSON
VICE-PRESIDENT
2205 LATHEN WAY
EUGENE OR 97408

Officer/Director/Trustee Three

EMILY CLARK
SECRETARY
19801 MEADOW RIDGE DRIVE APT 8
TRABUCO CANYON CA 92679

Officer/Director/Trustee Four

BRYAN CLARK
TREASURER
19801 MEADOW RIDGE DRIVE APT 8
TRABUCO CANYON CA 92679

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/17
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 RACHEL CHRISTIANSON
Signature Title PRESIDENT
Signature Date 5/24/18

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