FORM 1023-EZ for THE MICHAEL MIKTUS FOUNDATION CORP

Field Data
EIN 47-1780932
Case Number EO-2015092-000243
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MICHAEL MIKTUS FOUNDATION CORP
Organization’s Mailing Address 52 HILLCREST AVE
City LODI
State NJ
ZIP 07644
Accounting period End 12
Primary contact name THOMAS RACHELSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS RACHELSKI
PRESIDENT
52 HILLCREST AVE
LODI NJ 07644

Officer/Director/Trustee Two

DANIEL BAUER
TREASURER
52 HILLCREST AVE
LODI NJ 07644

Officer/Director/Trustee Three

MATTHEW MIKTUS
SECRETARY
52 HILLCREST AVE
LODI NJ 07644

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M42 - Automotive Safety
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 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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