FORM 1023-EZ for MAMA FUND

Field Data
EIN 83-1806324
Case Number EO-2018290-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAMA FUND
Organization’s Mailing Address 10950 N WEST LANE
City LODI
State CA
ZIP 95242
Accounting period End 12
Primary contact name EVAN HAYNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GAYLEA SHIRLEY
CO-DIRECTOR
19228 WILLOW LANE
SONOMA CA 95476

Officer/Director/Trustee Two

EVAN HAYNES
CO-DIRECTOR
10950 WEST LANE
LODI CA 95242

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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 EVAN HAYNES
Signature Title CO-DIRECTOR
Signature Date 10/15/18

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