FORM 1023-EZ for PARKER MADISON FOUNDATION

Field Data
EIN 46-3681240
Case Number EO-2014318-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARKER MADISON FOUNDATION
Organization’s Mailing Address 4624 GARDEN LANE
City ODESSA
State TX
ZIP 79761-3518
Accounting period End 12
Primary contact name BRIAN MADISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN MADISON
PRESIDENT AND DIRECTOR
4624 GARDEN LANE
ODESSA TX 79761-3518

Officer/Director/Trustee Two

TOBY TRIPP
TREASURER AND DIRECTOR
25 TROON
ODESSA TX 79762-8401

Officer/Director/Trustee Three

FRANCESCA MADISON
DIRECTOR
4624 GARDEN LANE
ODESSA TX 79761-3518

Officer/Director/Trustee Four

SAM GONZALEZ
DIRECTOR
2805 WINDSOR
ODESSA TX 79762-7816

Officer/Director/Trustee Five

JILL GONZALEZ
SECRETARY
2805 WINDSOR
ODESSA TX 79762-7816

Organization’s website N/A
Organization’s email BMADISON@SANDHILLSSERVICESLTD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2013
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent 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
Signature Title
Signature Date

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