FORM 1023-EZ for MEDIEVAL MAYHEM HISTORICAL ARTS FOUNDATION

Field Data
EIN 81-1847976
Case Number EO-2016154-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEDIEVAL MAYHEM HISTORICAL ARTS FOUNDATION
Organization’s Mailing Address 1067 GOLD HILL DRIVE
City SHOW LOW
State AZ
ZIP 85901
Accounting period End 12
Primary contact name DARIS GIBBONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DARIS GIBBONS
PRESIDENT
1067 GOLD HILL DRIVE
SHOW LOW AZ 85901

Officer/Director/Trustee Two

CHARLES TUPPER
TREASURER
1067 GOLD HILL DRIVE
SHOW LOW AZ 85901

Officer/Director/Trustee Three

KAMI DAMMS
SECRETARY
1067 GOLD HILL DRIVE
SHOW LOW AZ

Officer/Director/Trustee Four

RICHARD GIBBONS
DIRECTOR
1067 GOLD HILL DRIVE
SHOW LOW AZ

Officer/Director/Trustee Five

KALMAN MANNIS
DIRECTOR
1067 OLD HWY 160
SHOW LOW AZ 85901

Organization’s website
Organization’s email MEDIEVALMAYHEM@CABLEONE.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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