FORM 1023-EZ for THE MADELYNN FOUNDATION NFP

Field Data
EIN 86-2653942
Case Number EO-2021104-000852
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MADELYNN FOUNDATION NFP
Organization’s Mailing Address 16007 EAGLE RIDGE DR
City TINLEY PARK
State IL
ZIP 60477
Accounting period End 12
Primary contact name ANGIE OBRIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGIE OBRIEN
DIRECTOR
16007 EAGLE RIDGE DR
TINLEY PARK IL 60477

Officer/Director/Trustee Two

JESSICA WILLMAN
DIRECTOR
1424 CONAN DOYLE RD
NAPERVILLE IL 60564

Officer/Director/Trustee Three

ERICA SWANSON
DIRECTOR
2519 W 110TH ST
CHICAGO IL 60655

Organization’s website WWW.MADELYNNFOUNDATION.ORG
Organization’s email INFO@MADELYNNFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 Yes
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 ANGIE OBRIEN
Signature Title DIRECTOR
Signature Date 4/11/2021

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