FORM 1023-EZ for MAD DRAGON FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-3116097 |
| Case Number | EO-2020009-000354 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MAD DRAGON FOUNDATION |
| Organization’s Mailing Address | 1512 E 12TH AVENUE UNIT 108 |
| City | TAMPA |
| State | FL |
| ZIP | 33605-3516 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL KERKMANN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHAEL KERKMANN
PRESIDENT
1512 E 12TH AVENUE UNIT 108
TAMPA FL 33605
Officer/Director/Trustee Two
ELIZABETH JEFFERIES
VICE PRESIDENT
1353 FLORENCE PATH
THE VILLAGES FL 32162
Officer/Director/Trustee Three
PAULA JENNINGS
SECRETARY
101 HERITAGE TRACE DRIVE
MADISON TN 37115
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/5/2019 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: Yes 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 | Yes |
| Gaming Activity | No |
| Disaster relief assistance | No |
| 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 | MICHAEL KERKMANN |
| Signature Title | PRESIDENT |
| Signature Date | 1/7/2020 |
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