FORM 1023-EZ for MAMA ST MARY FOUNDATION INCORPORATED

Field Data
EIN 84-4664498
Case Number EO-2020118-000081
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAMA ST MARY FOUNDATION INCORPORATED
Organization’s Mailing Address 607 RIDGECREST LANE
City LEBANON
State TN
ZIP 37087
Accounting period End 12
Primary contact name MOSUNMOLA ADEYEMI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOSUNMOLA ADEYEMI
PRESIDENT/DIRECTOR
2909 RUSS LANE
LITHONIA GA 30058

Officer/Director/Trustee Two

OLUWASEYI NIEVES
TREASURER
74 BUSHWOOD DRIVE
SAVANNAH GA 31407

Officer/Director/Trustee Three

ADETOUN ADEYEMI
SECRETARY
2909 RUSS LANE
LITHONIA GA 30058

Officer/Director/Trustee Four

ALEXANDER BADRU
DIRECTOR
607 RIDGECREST LANE
LEBANON GA 37087

Officer/Director/Trustee Five

CATHERINE BADRU
DIRECTOR
2285 BEAR MOUNTAIN DRIVE
CONYERS GA 30013

Organization’s website
Organization’s email MOSUNMOLAA@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 MOSUNMOLA ADEYEMI
Signature Title PRESIDENT/DIRECTOR
Signature Date 4/23/2020

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