FORM 1023-EZ for PROJECT MAD INC

Field Data
EIN 83-4723142
Case Number EO-2019183-000044
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT MAD INC
Organization’s Mailing Address 712 KASPER AVE
City LAS VEGAS
State NV
ZIP 89106-2639
Accounting period End 12
Primary contact name URICOS CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

URICOS CAMPBELL
PRESIDENT
712 KASPER AVE
LAS VEGAS NV 89106-2639

Officer/Director/Trustee Two

KIMBERLY WARD
SECRETARY
712 KASPER AVE
LAS VEGAS NV 89106-2639

Officer/Director/Trustee Three

BRITTANY HALL
TREASURER
5316 ADORATO DRIVE
NORTH LAS VEGAS NV 89031-3624

Officer/Director/Trustee Four

TRACY DAVIS
DIRECTOR
2309 SABER DRIVE N
LAS VEGAS NV 89032-3638

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/19
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
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 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 URICOS CAMPBELL
Signature Title PRESIDENT
Signature Date 6/30/19

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