FORM 1023-EZ for BRENT L MITCHELL FOUNDATION

Field Data
EIN 46-1438776
Case Number EO-2015294-000126
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRENT L MITCHELL FOUNDATION
Organization’s Mailing Address 11290 WAVERLY DR
City NEW ORLEANS
State LA
ZIP 70128
Accounting period End 12
Primary contact name MYRON L MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CORT MITCHELL
TREASURER
2175 WINSHIP ST
MACON GA 31204

Officer/Director/Trustee Two

TIFFANI MITCHELL
VICE PRESIDENT
39144 CAJUN BAYOU AVE
GONZALES LA 70737

Officer/Director/Trustee Three

TERENCE ROSEMORE
DIRECTOR
4730 TOULOUSE ST
NEW ORLEANS LA 70119

Officer/Director/Trustee Four

DONNA BROUSSARD
SECRETARY
CHELSEA OAK
HOUSTON TX 77065

Officer/Director/Trustee Five

MYRON MITCHELL
PRESIDENT
11290 WAVERLY DR
NEW ORLEANS LA 70128

Organization’s website
Organization’s email BLMFOUNDATION@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2012
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
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 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 No
One Third Support Gifts Yes
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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