FORM 1023-EZ for THE MAD ASSOCIATION INC

Field Data
EIN 47-1266114
Case Number EO-2015148-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MAD ASSOCIATION INC
Organization’s Mailing Address 44 DARBYS RUN WAY
City HIRAM
State GA
ZIP 30141
Accounting period End 6
Primary contact name MICHELE BRUNDIDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELE BRUNDIDGE
PRESIDENT
44 DARBYS RUNS WAY
HIRAM GA 30141

Officer/Director/Trustee Two

MARC DELLY
TREASURER
225 VILLA RIDGE
DALLAS GA 30157

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
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 No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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