FORM 1023-EZ for THE PATRICK ALLEN MELVIN FOUNDATION

Field Data
EIN 84-4172231
Case Number EO-2020008-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PATRICK ALLEN MELVIN FOUNDATION
Organization’s Mailing Address 401
City SAN CLEMENTE
State CA
ZIP 92672
Accounting period End 12
Primary contact name PATRICIA C VAN HAREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA MARZOLO
PRESIDENT
401 CALLE
SAN CLEMENTE CA 92672

Officer/Director/Trustee Two

DANIEL MELVIN
VICE PRESIDENT
27551 STARRISE
SAN JUAN CAPITRANO CA 92672

Officer/Director/Trustee Three

GARY MARZOLO
VICE PRESIDENT
401 CALLE FIESTA
SAN CLEMENTE CA 92672

Officer/Director/Trustee Four

MICHELE LYON
SECRETARY
25092 LAS BOLSAS
LAGUNA HILLS CA 92653

Officer/Director/Trustee Five

BREANNE WARKENTON
TREASURER
3120 VAN BUREN
COSTA MESA CA 92626

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICIA MARZOLO
Signature Title PRESIDENT
Signature Date 1/6/2020

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