FORM 1023-EZ for MACE ANTHONY WILLIAMSON FOUNDATION

Field Data
EIN 87-1400170
Case Number EO-2021218-000133
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MACE ANTHONY WILLIAMSON FOUNDATION
Organization’s Mailing Address 21 COVEY LANE UNIT F
City GREENSBORO
State NC
ZIP 27406
Accounting period End 12
Primary contact name JACQUELINE STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAIYE WALLER
EXECUTIVE DIRECTOR
21 COVEY LANE UNIT F
GREENSBORO NC 27406

Officer/Director/Trustee Two

INDICA HARRIS
TREASURER
3737 WENDWOOD LANE APT 205
CHARLOTTE NC 28211

Officer/Director/Trustee Three

TRINESHA DAVIS
SECRETARY
5710 18TH WAY S APT B
SAINT PETERSBURG FL 33712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 MAIYE WALLER
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/4/2021

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