FORM 1023-EZ for MMOPA SAFETY AND EDUCATION FOUNDATION

Field Data
EIN 83-1602675
Case Number EO-2018232-000447
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MMOPA SAFETY AND EDUCATION FOUNDATION
Organization’s Mailing Address 116 NORTH SPRUCE STREET
City WINSTON-SALEM
State NC
ZIP 27101
Accounting period End 12
Primary contact name RANDOLPH M JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDOLPH JAMES
DIRECTOR
116 NORTH SPRUCE STREET
WINSTON SALEM NC 27101

Officer/Director/Trustee Two

DIANNE WHITE
DIRECTOR
18149 GODDARD STREET
OVERLAND PARK KS 66013

Officer/Director/Trustee Three

JON SISK
DIRECTOR
168 TOWNE SQUARE PARK
LEXINGTON KY 40511

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/18
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B02 - Management & Technical Assistance
Organization’s purpose Charitable: No
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RANDOLPH JAMES
Signature Title DIRECTOR
Signature Date 8/17/18

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