FORM 1023-EZ for CHARLIE MIKE FOUNDATION

Field Data
EIN 84-3006250
Case Number EO-2019280-000139
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHARLIE MIKE FOUNDATION
Organization’s Mailing Address 6 LOS CRUCES TRAIL
City BIG SPRING
State TX
ZIP 79720
Accounting period End 12
Primary contact name CASSIE MAGBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA NACEY
CEO
6120 WILD BUFFALO COURT
ROCK SPRINGS WY 82901

Officer/Director/Trustee Two

CASHEA SHOCKLEY
COO
6 LOS CRUCES TRAIL
BIG SPRING TX 79720

Officer/Director/Trustee Three

CASSIE MAGBY
SECRETARY
3218 W FM 818
BIG SPRING TX 79720

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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 Yes
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 CASSIE MAGBY
Signature Title SECRETARY
Signature Date 10/3/19

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