FORM 1023-EZ for MAFICO LEADERSHIP RENEWAL INSTITUTEINC

Field Data
EIN 82-4512397
Case Number EO-2018100-000044
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAFICO LEADERSHIP RENEWAL INSTITUTEINC
Organization’s Mailing Address 700 MARTIN LUTHER KING DRIVE
City ATLANTA
State GA
ZIP 30314
Accounting period End 12
Primary contact name KARLA M SCIPIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THEMBA MAFICO
CHIEF EXECUTIVE OFFICER
4423 CRESTOAK DRIVE
SMYRNA GA 30082

Officer/Director/Trustee Two

MICHAEL BATTLE
CHAIRMAN OF THE BOARD
1482 WELLSPRING DRIVE
ABDERDEEN MD 21001

Officer/Director/Trustee Three

MELINDA CONTRERAS BYRD
SECRETARY
654 STATE ROAD
PRINCETON NJ 8540

Officer/Director/Trustee Four

FRANCIS DAY
TREASURER
605 LIVERPOOL LANE
KNOXVILLE TN 37920

Officer/Director/Trustee Five

GERALD DAILY
TRUSTEE
2832 KATHRYN COURT
EAST POINT GA 30344

Organization’s website HTTP://WWW.MAFICOINSTITUTE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THEMBA MAFICO
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 4/5/18

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