FORM 1023-EZ for THE METELLUS FOUNDATION

Field Data
EIN 85-1139255
Case Number EO-2021125-000057
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE METELLUS FOUNDATION
Organization’s Mailing Address 455 CONCORD PARKWAY N UNIT 6184
City CONCORD
State NC
ZIP 28027
Accounting period End 12
Primary contact name MONALISA METELLUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONALISA METELLUS
CEO
455 CONCORD PW N
CONCORD NC 28027

Officer/Director/Trustee Two

BEATRICE SMITH
DIRECTOR
14 BRAYTON PLACE
DOVER DE 19904

Officer/Director/Trustee Three

SAM METELLUS
CHIEF FINACIAL OFFICER
1629 NORFOLK CT
CLERMONT FL 34714

Officer/Director/Trustee Four

BOSEDE OGUNLEYE
DIRECTOR
2122 MELVIN STREET
PHLIADELPHIA PA 19131

Officer/Director/Trustee Five

MIA JONES
DIRECTOR
668 CREST LANE
HERSHEY PA 17033

Organization’s website METELLUSFOUNDATION.ORG
Organization’s email CONNECT@METELLUSFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MONALISA METELLUS
Signature Title CEO
Signature Date 5/2/2021

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