FORM 1023-EZ for MIG FOUNDATION

Field Data
EIN 84-3389419
Case Number EO-2020227-000138
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIG FOUNDATION
Organization’s Mailing Address 8118 WOODMONT AVE
City BETHESDA
State MD
ZIP 20814
Accounting period End 10
Primary contact name GIUSEPPE MAURO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GIUSEPPE MAURO
PRESIDENT
2422 DENNIS AVENUE
SILVER SPRING MD 20902

Officer/Director/Trustee Two

POONEH KALANTAR
TREASURER
5519 HUNTINGTON PKWY
BETHESDA MD 20814

Officer/Director/Trustee Three

MELINDA BELLAFIORE
EXECUTIVE OFFICER
2423 DARROW ST
SILVER SPRING MD 20902

Organization’s website MERCYBLUES.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2019
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 GIUSEPPE MAURO
Signature Title PRESIDENT
Signature Date 8/12/2020

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