FORM 1023-EZ for MAMA MADE

Field Data
EIN 85-4373740
Case Number EO-2021096-001505
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAMA MADE
Organization’s Mailing Address 1260 PLEASANTRIDGE DR
City ALTADENA
State CA
ZIP 91001
Accounting period End 12
Primary contact name LENA KELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LENA KELLY
PRESIDENT, CEO
1260 PLEASANTRIDGE DR
ALTADENA CA 91001

Officer/Director/Trustee Two

NICOLE BERRU
BOARD CHAIR
1260 PLEASANTRIDGE DR
ALTADENA CA 91001

Officer/Director/Trustee Three

KAIY SMITH-BIESMAN
BOARD CHAIR
1260 PLEASANTRIDGE DR
ALTADENA CA 91001

Organization’s website www.mama-made.org
Organization’s email lena@mama-made.org
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P83 - Senior Centers
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 Yes
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 LENA KELLY
Signature Title PRESIDENT, CEO
Signature Date 3/10/2021

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