FORM 1023-EZ for MITCHELL FAMILY FOUNDATION

Field Data
EIN 86-1226427
Case Number EO-2021064-000683
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MITCHELL FAMILY FOUNDATION
Organization’s Mailing Address 350 SILO ROAD
City DOVER
State NC
ZIP 28526
Accounting period End 12
Primary contact name ANTONIO HARDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTONIO HARDY
PRESIDENT
350 SILO ROAD
DOVER NC 28526

Officer/Director/Trustee Two

WILLIE MITCHELL
CHAIRMAN
350 SILO ROAD
DOVER NC 28526

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: No
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 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 ANTONIO HARDY
Signature Title PRESIDENT
Signature Date 1/5/2021

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