FORM 1023-EZ for MICKY FOUNDATION INC

Field Data
EIN 83-4596037
Case Number EO-2019126-000251
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICKY FOUNDATION INC
Organization’s Mailing Address 9515 E 24TH ST
City INDIANAPOLIS
State IN
ZIP 46229
Accounting period End 12
Primary contact name KELLY BANKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY BANKS
PRESIDENT/ DIRECTOR
9515 E 24TH ST
INDIANAPOLIS IN

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
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 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 KELLY BANKS
Signature Title PRESIDENT/ DIRECTOR
Signature Date 5/2/19

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