FORM 1023-EZ for MENDEM FOUNDATION INC

Field Data
EIN 85-4155902
Case Number EO-2021103-000443
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENDEM FOUNDATION INC
Organization’s Mailing Address 111 DALTON LANE
City TUSCUMBIA
State AL
ZIP 35674
Accounting period End 12
Primary contact name NICK STELES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDE KIJEM
TREASURER
3319 ROSECLIFF TRACE NORTHEAST
BUFORD GA 30519

Officer/Director/Trustee Two

JEFFREY CHENYI
PRESIDENT
111 DALTON LANE
TUSCUMBIA AL 35674

Officer/Director/Trustee Three

CHRIS AZENUI
VICE-PRESIDENT
421 CAVAN
CIBOLO TX 78108

Officer/Director/Trustee Four

CHRIS FONDUFE
DIRECTOR
300 LEATHERMAN CT
ALPHARETTA GA 30005

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 JEFFREY CHENYI
Signature Title PRESIDENT
Signature Date 4/7/2021

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