FORM 1023-EZ for MARLON J WELLS FOUNDATION INC

Field Data
EIN 81-3424937
Case Number EO-2016235-000031
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARLON J WELLS FOUNDATION INC
Organization’s Mailing Address 736 CAMELLIA DRIVE
City ROYAL PALM BEACH
State FL
ZIP 33411
Accounting period End 12
Primary contact name MARLON WELLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARLON WELLS
PRESIDENT
736 CAMELLIA DRIVE
ROYAL PALM BEACH FL 33411

Officer/Director/Trustee Two

HAWAII MINCEY
SECRETARY / TREASURER
11751 BALSAM DRIVE
ROYAL PALM BEACH FL 33411

Officer/Director/Trustee Three

COURTNEY EVERETT
DIRECTOR
4808 ORLEANS CT
WEST PALM BEACH FL 33415

Officer/Director/Trustee Four

ROSE EWALD
DIRECTOR
5056 PALM BROOKE CIRCLE
WEST PALM BEACH FL 33417

Organization’s website
Organization’s email MJWELLSPM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O21 - Boys Clubs
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 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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