FORM 1023-EZ for MIKE SHANE MEMORIAL FUND INC

Field Data
EIN 84-4309590
Case Number EO-2020029-000452
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIKE SHANE MEMORIAL FUND INC
Organization’s Mailing Address 1028 SHORE VIEW CIRCLE
City CROWNSVILLE
State MD
ZIP 21032
Accounting period End 12
Primary contact name MICHELLE TRACHTMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE TRACHTMAN
EXECUTIVE DIRECTOR
1028 SHORE VIEW CIRCLE
CROWNSVILLE MD 21032

Organization’s website WWW.MIKESHANEFUND.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - 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 MICHELLE TRACHTMAN
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/27/2020

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