FORM 1023-EZ for MSL3 SYNDROME FOUNDATION

Field Data
EIN 86-2308133
Case Number EO-2021093-000590
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MSL3 SYNDROME FOUNDATION
Organization’s Mailing Address 12979 N YELLOW ORCHID DR
City ORO VALLEY
State AZ
ZIP 85755-1869
Accounting period End 12
Primary contact name SARAH MEDLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH MEDLEY
PRESIDENT
12979 N YELLOW ORCHID DR
ORO VALLEY AZ 85755-1869

Officer/Director/Trustee Two

MICHAEL ANN THOMPSON
VICE PRESIDENT
2424 SARAH JANE LANE
FAYETTEVILLE AR 72701-3081

Officer/Director/Trustee Three

JOHN MEDLEY
TREASURER
12979 N YELLOW ORCHID DR
ORO VALLEY AZ 85755-1869

Officer/Director/Trustee Four

CANDICE BUIE STEPHENS
SECRETARY
2311 BRANDT VILLAGE
GREENSBORO NC 27455-2169

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SARAH MEDLEY
Signature Title PRESIDENT
Signature Date 3/2/2021

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