FORM 1023-EZ for MSINIGI DEVELOPMENT FUND

Field Data
EIN 83-1719715
Case Number EO-2018247-000789
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MSINIGI DEVELOPMENT FUND
Organization’s Mailing Address 7381 NAVARRE PKWY UNIT 4407
City NAVARRE
State FL
ZIP 32566
Accounting period End 8
Primary contact name MICHAEL ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL ADAMS
DIRECTOR
7381 NAVARRE PKWY UNIT 4407
NAVARRE FL 32566

Officer/Director/Trustee Two

AMY FERGUSON
DIRECTOR
724 E WARREN ST
DUNMORE PA 18512

Officer/Director/Trustee Three

KIM AHERN
DIRECTOR
129 POTTER ST
DUNMORE PA 18512

Officer/Director/Trustee Four

ANN MARIE FERGUSON
DIRECTOR
134 SHOEMAKER ST
DUNMORE PA 18512

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL ADAMS
Signature Title DIRECTOR
Signature Date 9/1/18

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