FORM 1023-EZ for THEODORE MADISON FOUNDATION

Field Data
EIN 83-1130085
Case Number EO-2018199-000254
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THEODORE MADISON FOUNDATION
Organization’s Mailing Address 8235 SMITHFIELD AVE
City SPRINGFIELD
State VA
ZIP 22152
Accounting period End 4
Primary contact name LUKE SUTTMILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUKE SUTTMILLER
PRESIDENT
325 FLAX MILL WAY
CHESAPEAKE VA 23322

Officer/Director/Trustee Two

MATT SUTTMILLER
OFFICER
8235 SMITHFIELD AVENUE
SPRINGFIELD VA 22152

Officer/Director/Trustee Three

TAYLOR KRUGH
OFFICER
900 E STONEWALL STREET UNIT 317
CHARLOTTE NC 28204

Officer/Director/Trustee Four

BARBARA HUSUM
OFFICER
2875 TUPELO DRIVE
PANAMA CITY FL 32405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
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 LUKE SUTTMILLER
Signature Title PRESIDENT
Signature Date 7/16/18

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