FORM 1023-EZ for MIRANDA LEIGH NELSON FOUNDATION

Field Data
EIN 87-1267078
Case Number EO-2021176-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIRANDA LEIGH NELSON FOUNDATION
Organization’s Mailing Address 6872 AUBURN DR
City HUNTINGTON BEACH
State CA
ZIP 92647-4067
Accounting period End 12
Primary contact name JAMES NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES NELSON
CEO
6872 AUBURN DR
HUNTINGTON BEACH CA 92647-4067

Officer/Director/Trustee Two

JAMES NELSON
CHAIRMAN
6872 AUBURN DR
HUNTINGTON BEACH CA 92647-4067

Officer/Director/Trustee Three

WENDY NELSON
CFO
6872 AUBURN DR
HUNTINGTON BEACH CA 92647-4067

Officer/Director/Trustee Four

WENDY NELSON
SECRETARY
6872 AUBURN DR
HUNTINGTON BEACH CA 92647-4067

Officer/Director/Trustee Five

WENDY NELSON
DIRECTOR
6872 AUBURN DR
HUNTINGTON BEACH CA 92647

Organization’s website
Organization’s email JAYDUBNELSON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES NELSON
Signature Title CHAIRMAN
Signature Date 6/24/2021

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