FORM 1023-EZ for MARDONNA LEONARD FOUNDATION

Field Data
EIN 82-2618077
Case Number EO-2017272-000414
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARDONNA LEONARD FOUNDATION
Organization’s Mailing Address 3435 W CHEYENNE AVE 105
City NORTH LAS VEGAS
State NV
ZIP 89032-8207
Accounting period End 12
Primary contact name ANDRE BAILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRE BAILEY
PRESIDENT
2308 MISTLE THRUSH DR
NORTH LAS VEGAS NV 89084-2224

Officer/Director/Trustee Two

DANA HAUGER
DIRECTOR
2308 MISTLE THRUSH DR
NORTH LAS VEGAS NV 89084-2224

Officer/Director/Trustee Three

ANDRE CROCKETT
TREASURER
2717 MARDI GRAS CIR
NORTH LAS VEGAS NV 89030-4420

Officer/Director/Trustee Four

DARON NIXON
SECRETARY
2833 ELVINGTON AVE
NORTH LAS VEGAS NV 89081-2441

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2017
Organization Incorporation State NV
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: 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 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
Signature Title
Signature Date

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