FORM 1023-EZ for THE MARCUS ANDERSON FOUNDATION

Field Data
EIN 47-5530444
Case Number EO-2016210-000173
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MARCUS ANDERSON FOUNDATION
Organization’s Mailing Address 100 RIBBON LANE-H
City CARY
State NC
ZIP 27518
Accounting period End 6
Primary contact name MARCUS ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCUS ANDERSON
FOUNDING CHAIR, TREASURER
100 RIBBON LANE-H
CARY NC 27518

Officer/Director/Trustee Two

MELONEY MILLER
CO-CHAIR
9208 GRAFFINGTON WAY
RALEIGH NC 27615

Officer/Director/Trustee Three

NIGEL ALSTON
VICE-CHAIR OF PROGRAMS
249 BROOKS LANDING DRIVE
WINSTON-SALEM NC 27106

Officer/Director/Trustee Four

ANNE BUFF
SECRETARY
2018 RIVER GROVE LANE
KNIGHTDALE NC 27545

Organization’s website WWW.MARCUSANDERSONFOUNDATION.ORG
Organization’s email INFO@MARCUSANDERSONFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 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
Signature Title
Signature Date

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