FORM 1023-EZ for MAXSQUAD FOR MICHELLE INCORPORATED

Field Data
EIN 86-1838163
Case Number EO-2021085-001159
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAXSQUAD FOR MICHELLE INCORPORATED
Organization’s Mailing Address 2328 SARATOGA DRIVE
City LOUISVILLE
State KY
ZIP 40205
Accounting period End 12
Primary contact name DAVID BAUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN HENNESSEY
PRESIDENT
1304 CONSERVATORY LANE
LOUISVILLE KY 40223

Officer/Director/Trustee Two

DAVID BAUGH
TREASURER
2328 SARATOGA DRIVE
LOUISVILLE KY 40205

Officer/Director/Trustee Three

MICHELLE BAUGH
SECRETARY
2328 SARATOGA DRIVE
LOUISVILLE KY 40205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2021
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID BAUGH
Signature Title TREASURER
Signature Date 2/5/2021

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