FORM 1023-EZ for MAYFIELD FAMILY FOUNDATION INCORPORATED

Field Data
EIN 27-4936831
Case Number EO-2015209-000091
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAYFIELD FAMILY FOUNDATION INCORPORATED
Organization’s Mailing Address 15941 SOUTH HARLEM AVE SUITE 404
City TINLEY PARK
State IL
ZIP 60477
Accounting period End 6
Primary contact name QUADRELLA WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

QUADRELLA WALKER
PRESIDENT
PO BOX 1763
MATTESON IL 60443

Officer/Director/Trustee Two

ASHLEY WALLER
SECRETARY
4614 LINCOLN BLVD
RICHTON PARK IL 60471

Officer/Director/Trustee Three

EVA BRECKENRIDGE
BOARD MEMBER
94 ILLIAD DR
TINLEY PARK IL 60477

Officer/Director/Trustee Four

RAYNARD MAYFIELD
TREASURER
17002 NOVAK T101
HAZEL CREST IL 60429

Officer/Director/Trustee Five

CLARENCE ARMSTRONG
BOARD MEMBER
15941 S HARLEM AVE 404
TINLEY PARK IL 60477

Organization’s website THEMAYFIELDFAMILYFOUNDATION.COM
Organization’s email MAYFIELDFAMILYFOUNDATION@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2010
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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