FORM 1023-EZ for BUCK MITCHELL MEMORIAL FOUNDATION INC

Field Data
EIN 83-2280600
Case Number EO-2019037-000382
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUCK MITCHELL MEMORIAL FOUNDATION INC
Organization’s Mailing Address 16251 NE 6TH AVENUE
City TRENTON
State FL
ZIP 32693
Accounting period End 12
Primary contact name JED MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY MITCHELL
OFFICER
16251 NE 6TH AVENUE
TRENTON FL 32693

Officer/Director/Trustee Two

JED MITCHELL
OFFICER
17195 SW 135 LANE
ARCHER FL 32618

Officer/Director/Trustee Three

MARCUS MITCHELL
OFFICER
15751 NE 5TH AVENUE
TRENTON FL 32693

Officer/Director/Trustee Four

CASEY MITCHELL
OFFICER
16031 NE 6TH AVENUE
TRENTON FL 32693

Officer/Director/Trustee Five

WILL MITCHELL
OFFICER
16251 NE 6TH AVENUE
TRENTON FL 32693

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 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 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 PEGGY MITCHELL
Signature Title OFFICER
Signature Date 12/31/18

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