FORM 1023-EZ for MELVILLE FOUNDATION INC

Field Data
EIN 85-0850704
Case Number EO-2020163-000139
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MELVILLE FOUNDATION INC
Organization’s Mailing Address 4301 28TH ST N BLDG B APT 114
City ST PETERSBURG
State FL
ZIP 33714
Accounting period End 12
Primary contact name TERENCE MELVILLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERENCE MELVILLE
PRESIDENT
4301 28TH ST N BLDG B APT 114
ST PETERSBURG FL 33714

Officer/Director/Trustee Two

GABRIELA HEIZER
DIRECTOR
7307 SHELL RIDGE TER
LAKE WORTH FL 33467

Officer/Director/Trustee Three

ALICIA TENNELL
DIRECTOR
11773 8TH WAY N APT 4
ST PETERSBURG FL 33716

Officer/Director/Trustee Four

MARANDA DOUGLAS
OFFICER
1729 CARLISSE ST
CLEARWATER FL 33755

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
Disaster relief assistance Yes
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 TERENCE MELVILLE
Signature Title PRESIDENT
Signature Date 6/9/2020

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