FORM 1023-EZ for MADDOXS PURPOSE

Field Data
EIN 26-4311006
Case Number EO-2015098-000380
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MADDOXS PURPOSE
Organization’s Mailing Address 4499 VZCR 2318
City CANTON
State TX
ZIP 75103
Accounting period End 12
Primary contact name SARA LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SARA LEE
FOUNDER
4499 VZCR 2318
CANTON TX 75103

Officer/Director/Trustee Two

SCOTT LEE
CO-FOUNDER
4499 VZCR 2318
CANTON TX 75103

Officer/Director/Trustee Three

NICHOLAS BOUCHARD
CHAIRMAN
4907 VZCR 2318
EUSTACE TX 75124

Officer/Director/Trustee Four

TAMMI VERMILLION
SECRETARY
1502 SE 9TH STREET
WAGONER OK 74467

Organization’s website MADDOXSPURPOSE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2009
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E24 - Hospital, Specialty
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 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
Signature Title
Signature Date

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