FORM 1023-EZ for MELVINS FOUNDATION

Field Data
EIN 87-2106284
Case Number EO-2021231-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MELVINS FOUNDATION
Organization’s Mailing Address PO BOX 76
City PONTOTOC
State MS
ZIP 38863
Accounting period End 12
Primary contact name MARCUS AUTRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCUS AUTRY
DIRECTOR
PO BOX 76
PONTOTOC MS 38863

Officer/Director/Trustee Two

ARMINDER SINGH
DIRECTOR
PO BOX 76
PONTOTOC MS 38863

Officer/Director/Trustee Three

IZRA BROWN
DIRECTOR
PO BOX 76
PONTOTOC MS 38863

Organization’s website
Organization’s email AUTRYSBUSINESS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2021
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 MARCUS AUTRY
Signature Title DIRECTOR
Signature Date 8/17/2021

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