FORM 1023-EZ for MICHAELS FOUNDATION INC

Field Data
EIN 83-2639084
Case Number EO-2019087-000403
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHAELS FOUNDATION INC
Organization’s Mailing Address 11105 AUTUMN LANE
City CLERMONT
State FL
ZIP 34711
Accounting period End 12
Primary contact name KRISTINE TITUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTINE TITUS
MEMBER
11105 AUTUMN LANE
CLERMONT FL 34711

Officer/Director/Trustee Two

LAWRENCE TITUS
MEMBER
10237 KABANA BOULEVARD
CLERMONT FL 34711

Officer/Director/Trustee Three

MOTAZ ELKHOULY
MEMBER
3103 N ATLANTIC AVE SUITE H
CAPE CANAVERAL FL 32920

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 KRISTINE TITUS
Signature Title MEMBER
Signature Date 3/26/19

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