FORM 1023-EZ for MICHAELS MIRACLE FOUNDATION

Field Data
EIN 82-0981307
Case Number EO-2018302-000441
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHAELS MIRACLE FOUNDATION
Organization’s Mailing Address 6 E MAPLE ST
City STOCKTON
State CA
ZIP 95204
Accounting period End 12
Primary contact name SILVIA VAN STEYN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SILVIA VAN STEYN
PRESIDENT, DIRECTOR
6 E MAPLE ST
STOCKTON CA 95204

Officer/Director/Trustee Two

LLOYD CARGO III
SECRETARY, DIRECTOR
1030 RIPKEN AVE
GALT CA 95632

Officer/Director/Trustee Three

MELISSA PRUITT
TREASURER, DIRECTOR
2477 MACKVILLE RD
ACAMPO CA 95220

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SILVIA VAN STEYN
Signature Title PRESIDENT, DIRECTOR
Signature Date 10/26/18

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