FORM 1023-EZ for IMMORTAL MASONIC FOUNDATION

Field Data
EIN 85-2112624
Case Number EO-2020248-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMMORTAL MASONIC FOUNDATION
Organization’s Mailing Address 2015 N 50TH ST 44
City PHOENIX
State AZ
ZIP 85008
Accounting period End 12
Primary contact name KENNY JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNY JACKSON
PRESIDENT
2015 N 50TH ST 44
PHOENIX AZ 85008

Officer/Director/Trustee Two

CHARLES ADAMS
SECRETARY
1446 WOODSON ROAD
UNIVERSITY CITY MO 63132

Officer/Director/Trustee Three

MOMAR BROWN-EL
TREASURER
317 HENQUIN DRIVE
ST LOUIS MO 63135

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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 KENNY JACKSON
Signature Title PRESIDENT
Signature Date 9/1/2020

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