FORM 1023-EZ for MICHAEL P HICKEY FOUNDATION

Field Data
EIN 83-4250393
Case Number EO-2019112-000422
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHAEL P HICKEY FOUNDATION
Organization’s Mailing Address 333 NORTH WASHINGTON AVE SUITE 300
City MINNEAPOLIS
State MN
ZIP 55401
Accounting period End 12
Primary contact name JASON M HICKEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE HICKEY
CHAIRPERSON
101 BEDFORD AVE - B711
BROOKLYN NY 11211

Officer/Director/Trustee Two

KELLY HICKEY
VICE-CHAIRPERSON
1 N 4TH PLACE - 38C
BROOKLYN NY 11249

Officer/Director/Trustee Three

DORIS HICKEY
TREASURER
5264 COLONEL JOHNSON LANE
ALEXANDRIA VA 22304

Officer/Director/Trustee Four

DAVID HICKEY
SECRETARY
1 N 4TH PLACE - 38C
BROOKLYN NY 11249

Officer/Director/Trustee Five

JASON HICKEY
DIRECTOR
101 BEDFORD AVE - B711
BROOKLYN NY 11211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
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 Yes
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 JASON HICKEY
Signature Title DIRECTOR
Signature Date 4/18/19

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