FORM 1023-EZ for M FOUNDATION

Field Data
EIN 82-1966665
Case Number EO-2020203-000137
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name M FOUNDATION
Organization’s Mailing Address 15039 SEELEY AVENUE
City HARVEY
State IL
ZIP 60426
Accounting period End 12
Primary contact name KERMAN ALI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KERMAN ALI
PRESIDENT/VICE PRESIDENT
9222 S MARQUETTE
CHICAGO IL 60617

Officer/Director/Trustee Two

KINYA JETT
CO-PRESIDENT
15039 SEELEY AVENUE
HARVEY IL 60426

Officer/Director/Trustee Three

LUE BLANCHARD
SECRETARY
15039 SEELEY AVENUE
HARVEY IL 60426

Officer/Director/Trustee Four

DIANE JETT
TREASURER
14620 SOUTH EVERS
DOLTON IL 60419

Officer/Director/Trustee Five

BEN SMITH
DIRECTOR
15035 SEELEY
HARVEY IL 60426

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P75 - Senior Continuing Care Communities
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 KERMAN ALI
Signature Title PRESIDENT/VICE PRESIDENT
Signature Date 7/16/2020

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