FORM 1023-EZ for MANSALLY FOUNDATION INC

Field Data
EIN 47-2236224
Case Number EO-2015086-000326
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MANSALLY FOUNDATION INC
Organization’s Mailing Address 4710 E BROADWAY SUITE 180
City MADISON
State WI
ZIP 53716
Accounting period End 12
Primary contact name SARJO BARROW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ABDOULIE MANSALLY
DIRECTOR
9425 S RIVER APT 228
SANDY UT 84070

Officer/Director/Trustee Two

ABDOULIE MANSALLY
PRESIDENT/DIRECTOR
9425 S RIVER APT 228
SANDY UT 84070

Officer/Director/Trustee Three

SARJO BARROW
DIRECTOR
4710 E BROADWAY STE 180
MADISON WI 53716

Officer/Director/Trustee Four

MODOU LAMIN JARJU
DIRECTOR
1401 OKEEFFE AVENUE APT 202
SUN PRAIRIE WI 53590

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2014
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Conducting Activities Outside of United States Yes
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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