FORM 1023-EZ for MLDA FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 84-4046880 |
| Case Number | EO-2019360-000167 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MLDA FOUNDATION INC |
| Organization’s Mailing Address | 10900 RICE FIELD PL |
| City | FAIRFAX STATION |
| State | VA |
| ZIP | 22039 |
| Accounting period End | 12 |
| Primary contact name | STEVEN A WAGONER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
STEVEN WAGONER
CHAIRMAN/ TREASURER
10900 RICE FIELD PL
FAIRFAX STATION VA 22039
Officer/Director/Trustee Two
BRETT SELLERS
SECRETARY
9603 PEMBERLY LANE
FAIRFAX STATION VA 22039
Officer/Director/Trustee Three
AUSTIN CASLAVKA
MEMBER
6305 WINWARD DR
BURKE VA 22015
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/9/2019 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: Yes Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | Yes |
| 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 | 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 | STEVEN WAGONER |
| Signature Title | CHAIRMAN/ TREASURER |
| Signature Date | 12/20/2019 |
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