FORM 1023-EZ for MELANATED MADEMOISELLE INC

Field Data
EIN 87-1736301
Case Number EO-2021263-000535
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MELANATED MADEMOISELLE INC
Organization’s Mailing Address 1309 EAST CARDEZA STREET
City PHILADELPHIA
State PA
ZIP 19119
Accounting period End 12
Primary contact name TRACEY MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACEY MITCHELL
BOARD PRESIDENT
1309 EAST CARDEZA STREET
PHILADELPHIA PA 19119

Officer/Director/Trustee Two

JONDREA WILLIAMS-GRAVES
BOARD VICE PRESIDENT
137-53 232ND STREET
LAURELTON NY 11413

Officer/Director/Trustee Three

MONIQUE ROUSE-HOLMES
BOARD OF DIRECTOR
1302 EMERSON CT
CLEMENTON NJ 08021

Officer/Director/Trustee Four

ANESHA BONELLI
BOARD OF DIRECTOR
1545 SPRING GARDEN STREET
PHILADELPHIA PA 19130

Officer/Director/Trustee Five

VICTORIA TROWER
BOARD OF DIRECTOR
211 CARVER STREET
PHILADELPHIA PA 19124

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2021
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 TRACEY MITCHELL
Signature Title BOARD PRESIDENT
Signature Date 9/17/2021

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