FORM 1023-EZ for THE ARMY SPECIALIST HENRY J MAYFIELD JR FOUNDATION CORP

Field Data
EIN 85-3032796
Case Number EO-2020262-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ARMY SPECIALIST HENRY J MAYFIELD JR FOUNDATION CORP
Organization’s Mailing Address 3002 BUTTONWOOD WALK
City HAZEL CREST
State IL
ZIP 60429
Accounting period End 12
Primary contact name CARMONETA HORTON MAYFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARMONETA HORTON MAYFIELD
DIRECTOR
3002 BUTTONWOOD WALK
HAZEL CREST IL 60429

Officer/Director/Trustee Two

HENRY MAYFIELD SR
OFFICER
3002 BUTTONWOOD WALK
HAZEL CREST IL 60429

Officer/Director/Trustee Three

ANDREA COTTEN
OFFICER
9901 QUEENS ROAD
FRISCO TX 75035

Officer/Director/Trustee Four

MARTINA THOMPSON LOWERY
OFFICER
1019 N MONITOR
CHICAGO IL 60651

Officer/Director/Trustee Five

CHARRON OVERTON
OFFICER
3940 W 70TH PL
CHICAGO IL 60629

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 Yes
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 CARMONETA HORTON MAYFIELD
Signature Title DIRECTOR
Signature Date 9/16/2020

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