FORM 1023-EZ for MAYDM INC

Field Data
EIN 81-0991008
Case Number EO-2016025-000139
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAYDM INC
Organization’s Mailing Address 802 S GAMMON RD APT 4
City MADISON
State WI
ZIP 53719-1300
Accounting period End 12
Primary contact name WINNIE KARANJA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WINNIE KARANJA
PRESIDENT SEC/TREAS DIREC
802 S GAMMON RD APT 4
MADISON WI 53719-1300

Officer/Director/Trustee Two

JANELLE RAMSBORG
DIRECTOR
1105 MOHICAN PASS
MADISON WI 53711-2841

Officer/Director/Trustee Three

JOHN PUTMAN
DIRECTOR
7062 LEE RD
LODI WI 53555-9507

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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
Signature Title
Signature Date

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