FORM 1023-EZ for MICHAEL D MAXWELL JR FOUNDATION FORMENTAL AWARENESS INC

Field Data
EIN 82-2892462
Case Number EO-2017270-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MICHAEL D MAXWELL JR FOUNDATION FORMENTAL AWARENESS INC
Organization’s Mailing Address 4C GARDENWAY ROAD
City GREENBELT
State MD
ZIP 20770
Accounting period End 12
Primary contact name MICHAEL MAXWELL SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL MAXWELL
PRESIDENT
4C GARDENWAY ROAD
GREENBELT MD 20770

Officer/Director/Trustee Two

TERESA MAXWELL
TREASURER
4C GARDENWAY ROAD
GREENBELT MD 20770

Officer/Director/Trustee Three

ASHLEY KLASS
VICE PRESIDENT
82 JONES STATION ROAD
ARNOLD MD 21012

Officer/Director/Trustee Four

LISA EALLEY
SECRETARY
9526 RHODE ISLAND AVE
COLLEGE PARK MD 20740

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2017
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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